Indiana
Professional Licensing Agency
DAVID J DIETZ MD INC
Medical Licensing Board - Medical Corporation
License number
50000250A
Date granted
12/03/1970
Date expires
01/31/1989
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2810 ETHEL AVE, MUNCIE IN 47304
indianalicensing.org
ID 24831657
LAST UPDATED 2024-03-01 11:35:47 UTC
LAST UPDATED 2024-03-01 11:35:47 UTC
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