Indiana
Professional Licensing Agency
Bert Ira Davis
Controlled Substance Registration - Physician
License number
01024042B
Date granted
10/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6907South 600 West, Pendleton IN 46064
indianalicensing.org
ID 5909129
LAST UPDATED 2024-04-22 23:50:10 UTC
LAST UPDATED 2024-04-22 23:50:10 UTC
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