License holder summary

DAVID LESLIE HOLTZCLAW is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID LESLIE HOLTZCLAW is 727 WEST 1ST, BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 04/30/1982 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

DAVID LESLIE HOLTZCLAW
Controlled Substance Registration - Physician
License number
01022196B
Date granted
04/30/1982
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
727 WEST 1ST, BLOOMINGTON IN 47401
indianalicensing.org
ID 5824101
LAST UPDATED 2024-04-03 10:03:58 UTC

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