Indiana
Professional Licensing Agency
Dale W. Economan
Controlled Substance Registration-Osteopathic Physician
License number
02000601C
Date granted
06/23/1999
Date expires
06/30/2007
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Marion Family Practice, 717 MAIN STREET, GAS CITY IN 46933
indianalicensing.org
ID 5801354
LAST UPDATED 2024-04-13 12:43:27 UTC
LAST UPDATED 2024-04-13 12:43:27 UTC
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