License holder summary

Dana Spivak is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dana Spivak is 420 East Main Street, Brook IN 47922. This licensed professional license is not current. The license was granted 11/14/2002 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Dana Spivak
Controlled Substance Registration - Physician
License number
01056634B
Date granted
11/14/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
420 East Main Street, Brook IN 47922
indianalicensing.org
ID 5828096
LAST UPDATED 2026-05-20 12:59:14 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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