Indiana
Professional Licensing Agency
Dennis U. Atienza
Controlled Substance Registration-Osteopathic Physician
License number
02004255B
Date granted
06/26/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
1404 Memorial Avenue, Suite B, Washington IN 47501
indianalicensing.org
ID 5815509
LAST UPDATED 2026-04-04 11:19:58 UTC
LAST UPDATED 2026-04-04 11:19:58 UTC
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