License holder summary

Brian Paul Dickover is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Brian Paul Dickover is 400 North Medical Center, 8733 W. 400 N., Michigan City IN 46360. This licensed professional license is current. The license was granted 03/12/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Brian Paul Dickover
Controlled Substance Registration - Physician
License number
01063310B
Date granted
03/12/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
400 North Medical Center, 8733 W. 400 N., Michigan City IN 46360
indianalicensing.org
ID 5892273
LAST UPDATED 2024-03-02 21:05:52 UTC

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