Indiana
Professional Licensing Agency
Donald Gene Mode
Controlled Substance Registration - Physician
License number
01020492B
Date granted
07/18/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Welborn Clinic, 421 Chestnut, Evansville IN 47713
indianalicensing.org
ID 5849652
LAST UPDATED 2024-04-14 19:29:57 UTC
LAST UPDATED 2024-04-14 19:29:57 UTC
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