License holder summary

DAVID ANTHONY BELVEDERE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID ANTHONY BELVEDERE is LUTHERAN MEDICAL PARK, 7836 W JEFFERSON BLVD, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 03/06/1991 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

DAVID ANTHONY BELVEDERE
Controlled Substance Registration - Physician
License number
01038965B
Date granted
03/06/1991
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LUTHERAN MEDICAL PARK, 7836 W JEFFERSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 5853153
LAST UPDATED 2024-02-20 23:32:08 UTC

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