License holder summary

Douglas Samuel Conard is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Douglas Samuel Conard is 316 Wildwood Lane, Lafayette IN 47905. This licensed professional license is not current. The license was granted 08/31/1985 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Douglas Samuel Conard
Controlled Substance Registration - Physician
License number
01028562B
Date granted
08/31/1985
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
316 Wildwood Lane, Lafayette IN 47905
indianalicensing.org
ID 5879316
LAST UPDATED 2024-04-01 04:24:35 UTC

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