Indiana
Professional Licensing Agency
DALE EDWIN GILLAN JR
Controlled Substance Registration - Physician
License number
01034194B
Date granted
04/01/1985
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2320 W LEXINGTON AVENUE, ELKHART IN 46514
indianalicensing.org
ID 5846901
LAST UPDATED 2024-04-05 19:42:45 UTC
LAST UPDATED 2024-04-05 19:42:45 UTC
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