Indiana
Professional Licensing Agency
David A. White
Controlled Substance Registration - Physician
License number
01056105B
Date granted
04/30/2002
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
30 West Rampart Suite 170, Shelbyville IN 46176
indianalicensing.org
ID 5919127
LAST UPDATED 2024-04-04 02:43:32 UTC
LAST UPDATED 2024-04-04 02:43:32 UTC
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