License holder summary

David O. Magnante is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David O. Magnante is 975 Mezanine Drive,Suite B, Lafayette IN 47905. This licensed professional license is current. The license was granted 05/23/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David O. Magnante
Controlled Substance Registration - Physician
License number
01045133B
Date granted
05/23/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
975 Mezanine Drive,Suite B, Lafayette IN 47905
indianalicensing.org
ID 5879115
LAST UPDATED 2024-02-16 20:17:40 UTC

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