License holder summary

Dafferlin Juanita Barnard-Dupree is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dafferlin Juanita Barnard-Dupree is 1098 S. State Rd. 25, Logansport IN 46947-9699. This licensed professional license is not current. The license was granted 12/10/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Dafferlin Juanita Barnard-Dupree
Controlled Substance Registration - Physician
License number
01058091B
Date granted
12/10/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1098 S. State Rd. 25, Logansport IN 46947-9699
indianalicensing.org
ID 5884861
LAST UPDATED 2024-03-07 06:24:46 UTC

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