License holder summary

GARY HENRY DIOTALLEVI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GARY HENRY DIOTALLEVI is WELBORN CLINIC, HWY 261 BOX 639, NEWBURGH IN 47630. This licensed professional license is not current. The license was granted 09/30/1985 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

GARY HENRY DIOTALLEVI
Controlled Substance Registration - Physician
License number
01028429B
Date granted
09/30/1985
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WELBORN CLINIC, HWY 261 BOX 639, NEWBURGH IN 47630
indianalicensing.org
ID 5905568
LAST UPDATED 2024-04-23 08:22:07 UTC

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