License holder summary

Dwight D. Collman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dwight D. Collman is St. Marys Warirck, 1116 Millis Avenue, Boonville IN 47601. This licensed professional license is current. The license was granted 02/29/2012 and expired on 10/31/2015.

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

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