Indiana
Professional Licensing Agency
Dale Forrest Leonard
Controlled Substance Registration - Physician
License number
01020478B
Date granted
11/05/1999
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
505 S GREEN ST, BROWNSBURG IN 46112
indianalicensing.org
ID 5828769
LAST UPDATED 2024-04-01 20:20:59 UTC
LAST UPDATED 2024-04-01 20:20:59 UTC
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