Indiana
Professional Licensing Agency
David Lee Tetrick
Controlled Substance Registration - Physician
License number
01035208B
Date granted
07/08/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Physicians of Indiana, Inc., 9669 E. 146th Street Suite# 310, Noblesville IN 46060
indianalicensing.org
ID 5906792
LAST UPDATED 2024-02-09 17:57:05 UTC
LAST UPDATED 2024-02-09 17:57:05 UTC
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