License holder summary

Dominick DeTommaso is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for Dominick DeTommaso is 7601 WEST JEFFERSON BLVD, P O BOX 2526, FORT WAYNE IN 46801. This licensed professional license is current. The license was granted 08/31/1986 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

Dominick DeTommaso
Controlled Substance Registration - Podiatrist
License number
07000410B
Date granted
08/31/1986
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
7601 WEST JEFFERSON BLVD, P O BOX 2526, FORT WAYNE IN 46801
indianalicensing.org
ID 8430422
LAST UPDATED 2024-04-02 13:48:22 UTC

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