License holder summary

Daniel L. Icenogle is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Daniel L. Icenogle is 2600 GREENBUSH STREET, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 07/31/1983 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

Daniel L. Icenogle
Controlled Substance Registration - Physician
License number
01031829B
Date granted
07/31/1983
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2600 GREENBUSH STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5879035
LAST UPDATED 2024-04-15 23:33:03 UTC

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

Reviews

Are you familiar with Daniel L. Icenogle's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending