Indiana
Professional Licensing Agency
Edward John Diekhoff
Controlled Substance Registration - Physician
License number
01039037B
Date granted
04/05/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
701 E. County Line Road, Suite 201, Greenwood IN 46143
indianalicensing.org
ID 5861669
LAST UPDATED 2024-04-11 01:54:34 UTC
LAST UPDATED 2024-04-11 01:54:34 UTC
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