License holder summary

Daniel A Diener is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Daniel A Diener is 2006 South Main Street, Suite A, Goshen IN 46526. This licensed professional license is current. The license was granted 07/28/2000 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Daniel A Diener
Controlled Substance Registration - Physician
License number
01052698B
Date granted
07/28/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2006 South Main Street, Suite A, Goshen IN 46526
indianalicensing.org
ID 5858454
LAST UPDATED 2024-05-12 20:16:52 UTC

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