Indiana
Professional Licensing Agency
Derek Anthony Damin
Controlled Substance Registration - Physician
License number
01058906B
Date granted
04/05/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
245 Atwood St., Corydon IN 47112
indianalicensing.org
ID 5838647
LAST UPDATED 2024-02-26 19:16:47 UTC
LAST UPDATED 2024-02-26 19:16:47 UTC
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