Indiana
Professional Licensing Agency
David H Orth
Controlled Substance Registration - Physician
License number
01039059B
Date granted
03/21/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
10110 Donald S. Powers Dr. #101A, Munster IN 46321-4057
indianalicensing.org
ID 5900073
LAST UPDATED 2024-01-24 22:40:26 UTC
LAST UPDATED 2024-01-24 22:40:26 UTC
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