Indiana
Professional Licensing Agency
Dwight D. Collman
Controlled Substance Registration - Physician
License number
01070745B
Date granted
02/29/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Marys Warirck, 1116 Millis Avenue, Boonville IN 47601
indianalicensing.org
ID 5827216
LAST UPDATED 2024-02-12 03:24:54 UTC
LAST UPDATED 2024-02-12 03:24:54 UTC
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