Indiana
Professional Licensing Agency
David Irwin Malitz
Controlled Substance Registration - Physician
License number
01041297B
Date granted
07/14/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1001 Walnut St., Evansville IN 47713
indianalicensing.org
ID 5849582
LAST UPDATED 2024-04-19 09:29:48 UTC
LAST UPDATED 2024-04-19 09:29:48 UTC
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