Indiana
Professional Licensing Agency
Derek Oldham
Controlled Substance Registration - Physician
License number
01059574B
Date granted
11/24/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Family Practice Associates, 3301 County Road 6 East, Elkhart IN 46514
indianalicensing.org
ID 5847035
LAST UPDATED 2024-01-26 09:44:34 UTC
LAST UPDATED 2024-01-26 09:44:34 UTC
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