License holder summary

DAVID WESLEY DICK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID WESLEY DICK is PROVIDENT FAMILY HEALTHCARE, 1210 PROVIDENT DRIVE SUITE B, WARSAW IN 46580. This licensed professional license is current. The license was granted 07/27/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

DAVID WESLEY DICK
Controlled Substance Registration - Physician
License number
01044051B
Date granted
07/27/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PROVIDENT FAMILY HEALTHCARE, 1210 PROVIDENT DRIVE SUITE B, WARSAW IN 46580
indianalicensing.org
ID 5932473
LAST UPDATED 2024-03-11 10:54:49 UTC

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