License holder summary

David Brian Janizek is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David Brian Janizek is 6119 WEST JEFFERSON BLVD, FORT WAYNE IN 46804. This licensed professional license is current. The license was granted 01/23/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David Brian Janizek
Controlled Substance Registration - Physician
License number
01039174B
Date granted
01/23/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6119 WEST JEFFERSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 5853161
LAST UPDATED 2024-04-06 16:41:11 UTC

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