License holder summary

CHARLES THOMAS DEWBERRY is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for CHARLES THOMAS DEWBERRY is RANDALL DERMATOLOGY, 124 SAGAMORE PARKWAY WEST, West Lafayette IN 47906. This licensed professional license is not current. The license was granted 09/26/2001 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

CHARLES THOMAS DEWBERRY
Controlled Substance Registration-Osteopathic Physician
License number
02002379B
Date granted
09/26/2001
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
RANDALL DERMATOLOGY, 124 SAGAMORE PARKWAY WEST, West Lafayette IN 47906
indianalicensing.org
ID 5815663
LAST UPDATED 2024-05-11 17:11:12 UTC

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