License holder summary

DIANE DIMAGGIO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DIANE DIMAGGIO is 9120 COLUMBIA #A, MUNSTER IN 46321. This licensed professional license is not current. The license was granted 06/08/1984 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

DIANE DIMAGGIO
Controlled Substance Registration - Physician
License number
01033363B
Date granted
06/08/1984
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
9120 COLUMBIA #A, MUNSTER IN 46321
indianalicensing.org
ID 5900130
LAST UPDATED 2024-02-01 02:56:39 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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