License holder summary

D'andrae Douse is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for D'andrae Douse is PREFERRED ANESTHESIA CONSULTANTS, 1818 CAREW STREET #220, FORT WAYNE IN 46805. This licensed professional license is current. The license was granted 04/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

D'andrae Douse
Controlled Substance Registration - Physician
License number
01028388B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PREFERRED ANESTHESIA CONSULTANTS, 1818 CAREW STREET #220, FORT WAYNE IN 46805
indianalicensing.org
ID 5853197
LAST UPDATED 2024-04-26 22:35:32 UTC

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