License holder summary

BRIAN DAVE DIETERLE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BRIAN DAVE DIETERLE is 100 N 15TH ST, RICHMOND IN 47374. This licensed professional license is not current. The license was granted 08/03/1992 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

BRIAN DAVE DIETERLE
Controlled Substance Registration - Physician
License number
01040638B
Date granted
08/03/1992
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
100 N 15TH ST, RICHMOND IN 47374
indianalicensing.org
ID 5912631
LAST UPDATED 2024-04-27 20:42:10 UTC

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