License holder summary

David J. Janicki is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David J. Janicki is PROVIDENCE MEDICAL GROUP, 2723 South Seventh Street, Suite D, Terre Haute IN 47802. This licensed professional license is current. The license was granted 06/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David J. Janicki
Controlled Substance Registration - Physician
License number
01024050B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PROVIDENCE MEDICAL GROUP, 2723 South Seventh Street, Suite D, Terre Haute IN 47802
indianalicensing.org
ID 5924929
LAST UPDATED 2024-03-20 09:24:49 UTC

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