Indiana
Professional Licensing Agency
David Joseph Trout
Controlled Substance Registration - Physician
License number
01019135B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
816 LAZY LANE, Lafayette IN 47904
indianalicensing.org
ID 5879064
LAST UPDATED 2024-02-26 12:36:30 UTC
LAST UPDATED 2024-02-26 12:36:30 UTC
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