Indiana
Professional Licensing Agency
Charles H. Dickerson, III
Controlled Substance Registration - Physician
License number
01029645B
Date granted
10/31/1984
Date expires
10/31/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4320 FIR STREET #313, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845047
LAST UPDATED 2024-04-21 06:19:40 UTC
LAST UPDATED 2024-04-21 06:19:40 UTC
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