Indiana
Professional Licensing Agency
David M. Diehl
Controlled Substance Registration - Dentist
License number
12010145B
Date granted
08/17/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
10215 Dupont Circle Drive West, Fort Wayne IN 46825-1656
indianalicensing.org
ID 5094473
LAST UPDATED 2024-02-07 16:35:05 UTC
LAST UPDATED 2024-02-07 16:35:05 UTC
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