License holder summary

Derrick Allen Williams is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Derrick Allen Williams is Attn: Lee Ann, 1420 S. Pilgrim Blvd., Yorktown IN 47396. This licensed professional license is current. The license was granted 03/06/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Derrick Allen Williams
Controlled Substance Registration - Physician
License number
01063841B
Date granted
03/06/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Attn: Lee Ann, 1420 S. Pilgrim Blvd., Yorktown IN 47396
indianalicensing.org
ID 5936399
LAST UPDATED 2024-04-25 12:48:35 UTC

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