License holder summary

Donald Ray Ebersole is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Donald Ray Ebersole is Donald Ebersole, 2014 SOUTH MAIN STREET STE B, GOSHEN IN 46526. This licensed professional license is current. The license was granted 05/02/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Donald Ray Ebersole
Controlled Substance Registration - Physician
License number
01042385B
Date granted
05/02/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Donald Ebersole, 2014 SOUTH MAIN STREET STE B, GOSHEN IN 46526
indianalicensing.org
ID 5858542
LAST UPDATED 2024-02-17 10:13:16 UTC

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