License holder summary

DOUGLAS PAUL DIETZEL is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for DOUGLAS PAUL DIETZEL is 3520 GUION ROAD SUITE 101, INDIANAPOLIS IN 46222. This licensed professional license is not current. The license was granted 06/26/1997 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

DOUGLAS PAUL DIETZEL
Controlled Substance Registration-Osteopathic Physician
License number
02001858B
Date granted
06/26/1997
Date expires
06/30/1999
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
3520 GUION ROAD SUITE 101, INDIANAPOLIS IN 46222
indianalicensing.org
ID 5804345
LAST UPDATED 2024-02-06 23:09:32 UTC

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