Indiana
Professional Licensing Agency
David Eric Hall
Controlled Substance Registration-Osteopathic Physician
License number
02002803B
Date granted
07/01/2004
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Ft. Wayne Medical Education Program, 2434 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5800341
LAST UPDATED 2024-04-16 09:14:37 UTC
LAST UPDATED 2024-04-16 09:14:37 UTC
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