License holder summary

BART JOSEPH DE BROCK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BART JOSEPH DE BROCK is UROLOGY SPECOALISTS P C, 200 SOUTH SIXTH STREET, VINCENNES IN 47591. This licensed professional license is current. The license was granted 12/07/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

BART JOSEPH DE BROCK
Controlled Substance Registration - Physician
License number
01044481B
Date granted
12/07/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
UROLOGY SPECOALISTS P C, 200 SOUTH SIXTH STREET, VINCENNES IN 47591
indianalicensing.org
ID 5930507
LAST UPDATED 2024-02-17 20:21:41 UTC

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