Indiana
Professional Licensing Agency
Domenico Jose Deschamps
Controlled Substance Registration - Physician
License number
01022994B
Date granted
10/31/1985
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7863 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5890132
LAST UPDATED 2024-02-17 09:57:21 UTC
LAST UPDATED 2024-02-17 09:57:21 UTC
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