Indiana
Professional Licensing Agency
David Mathews Dersch
Controlled Substance Registration - Physician
License number
01019747B
Date granted
10/31/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2501 W. Jackson Street, Muncie IN 47303-4632
indianalicensing.org
ID 5897970
LAST UPDATED 2024-03-28 08:38:55 UTC
LAST UPDATED 2024-03-28 08:38:55 UTC
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