Indiana
Professional Licensing Agency
Dennis Wayne Dalphond
Controlled Substance Registration - Physician
License number
01030856B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Dennis Dalphond MD, 108 West State Street, North Judson IN 46366
indianalicensing.org
ID 5907530
LAST UPDATED 2024-04-15 14:59:15 UTC
LAST UPDATED 2024-04-15 14:59:15 UTC
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