License holder summary

DAVID BRYAN AUSTIN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID BRYAN AUSTIN is 5638-6 OLD DOVER BLVD, FORT WAYNE IN 46815. This licensed professional license is not current. The license was granted 05/31/1985 and expired on 05/31/1985.

Indiana

Professional Licensing Agency

DAVID BRYAN AUSTIN
Controlled Substance Registration - Physician
License number
01033266B
Date granted
05/31/1985
Date expires
05/31/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5638-6 OLD DOVER BLVD, FORT WAYNE IN 46815
indianalicensing.org
ID 5853176
LAST UPDATED 2024-04-10 02:49:28 UTC

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