License holder summary

BASIL JOSEPH DATZMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BASIL JOSEPH DATZMAN is R R 4 BOX 18 A, ATTICA IN 47918. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

BASIL JOSEPH DATZMAN
Controlled Substance Registration - Physician
License number
01018749B
Date granted
10/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
R R 4 BOX 18 A, ATTICA IN 47918
indianalicensing.org
ID 5819059
LAST UPDATED 2024-05-12 08:11:00 UTC

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