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
LAST UPDATED 2024-05-12 08:11:00 UTC
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