Indiana
Professional Licensing Agency
Douglas C. Dedelow
Controlled Substance Registration-Osteopathic Physician
License number
02001822B
Date granted
02/27/1997
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Innovative Women's Health, 1400 S. Lake Park Avenue, Suite 205, Hobart IN 46342-5990
indianalicensing.org
ID 5803392
LAST UPDATED 2024-03-06 00:12:09 UTC
LAST UPDATED 2024-03-06 00:12:09 UTC
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