License holder summary

DONALD JAMES MADDACK is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for DONALD JAMES MADDACK is PRIMARY CARE PC, 3125 WILLOWCREEK RD, PORTAGE IN 46368. This licensed professional license is not current. The license was granted 08/15/1990 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

DONALD JAMES MADDACK
Controlled Substance Registration-Osteopathic Physician
License number
02001180B
Date granted
08/15/1990
Date expires
06/30/2003
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
PRIMARY CARE PC, 3125 WILLOWCREEK RD, PORTAGE IN 46368
indianalicensing.org
ID 5811821
LAST UPDATED 2024-04-09 17:03:07 UTC

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