Indiana
Professional Licensing Agency
Dennis E. King
Controlled Substance Registration-Osteopathic Physician
License number
02000656C
Date granted
05/18/2011
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Summit Radiology, PC, 6119 West Jefferson Blvd., Fort Wayne IN 46804
indianalicensing.org
ID 5800400
LAST UPDATED 2024-02-20 18:30:44 UTC
LAST UPDATED 2024-02-20 18:30:44 UTC
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