Indiana
Professional Licensing Agency
David Charles Willyard
Controlled Substance Registration-Osteopathic Physician
License number
02000891B
Date granted
12/05/1985
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Teresa Martin, 4084 NORTH US 33, CHURUBUSCO IN 46723
indianalicensing.org
ID 5796688
LAST UPDATED 2026-04-10 03:34:13 UTC
LAST UPDATED 2026-04-10 03:34:13 UTC
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