License holder summary

Dale Eugene Theobald is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dale Eugene Theobald is 9894 E 121st Street, Fishers IN 46037. This licensed professional license is current. The license was granted 03/31/1983 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Dale Eugene Theobald
Controlled Substance Registration - Physician
License number
01032319B
Date granted
03/31/1983
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9894 E 121st Street, Fishers IN 46037
indianalicensing.org
ID 5851776
LAST UPDATED 2024-02-22 12:36:26 UTC

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