License holder summary

Dwain Clark Illman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dwain Clark Illman is BLOOMINGTON HOSPITAL - EMERGENCY DEPT, 601 WEST SECOND STREET, BLOOMINGTON IN 47403. This licensed professional license is current. The license was granted 05/31/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Dwain Clark Illman
Controlled Substance Registration - Physician
License number
01027208B
Date granted
05/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
BLOOMINGTON HOSPITAL - EMERGENCY DEPT, 601 WEST SECOND STREET, BLOOMINGTON IN 47403
indianalicensing.org
ID 5824185
LAST UPDATED 2024-02-20 23:55:33 UTC

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