License holder summary

DONALD J DESTACHE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DONALD J DESTACHE is 401 S E 6TH STREET, EVANSVILLE IN 47713. This licensed professional license is not current. The license was granted 06/30/1984 and expired on 06/30/1985.

Indiana

Professional Licensing Agency

DONALD J DESTACHE
Controlled Substance Registration - Physician
License number
01028425B
Date granted
06/30/1984
Date expires
06/30/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
401 S E 6TH STREET, EVANSVILLE IN 47713
indianalicensing.org
ID 5849666
LAST UPDATED 2024-03-02 03:49:41 UTC

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