Indiana
Professional Licensing Agency
DAVID LESLIE EVANS
Controlled Substance Registration - Physician
License number
01020942B
Date granted
06/30/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2323 FERRY STREET #104, LAFAYETTE IN 47904
indianalicensing.org
ID 5879099
LAST UPDATED 2024-04-25 17:22:48 UTC
LAST UPDATED 2024-04-25 17:22:48 UTC
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