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 2024-05-10 14:11:11 UTC
LAST UPDATED 2024-05-10 14:11:11 UTC
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