Indiana
Professional Licensing Agency
Daniel Maxfield
Controlled Substance Registration - Physician
License number
01058747B
Date granted
04/01/2004
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Premier Surgical, 701 E. County Line Road, Suite 201, Greenwood IN 46143
indianalicensing.org
ID 5861618
LAST UPDATED 2024-04-15 08:30:33 UTC
LAST UPDATED 2024-04-15 08:30:33 UTC
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