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
LAST UPDATED 2024-04-27 20:42:10 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.