License holder summary

David Charles D'Andrea is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David Charles D'Andrea is Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545. This licensed professional license is current. The license was granted 08/28/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David Charles D'Andrea
Controlled Substance Registration - Physician
License number
01054877B
Date granted
08/28/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5894790
LAST UPDATED 2024-02-24 23:21:01 UTC

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