Indiana
Professional Licensing Agency
DOUGLAS LEON PHILLIPS
Controlled Substance Registration-Osteopathic Physician
License number
02001562B
Date granted
07/01/1994
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
doug phillips, 8607 TEMPLE DRIVE, FORT WAYNE IN 46809
indianalicensing.org
ID 5800414
LAST UPDATED 2024-05-01 08:43:16 UTC
LAST UPDATED 2024-05-01 08:43:16 UTC
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