License holder summary

GERALD C DETATA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GERALD C DETATA is 11509 HARTFORD LN, NOBLESVILLE IN 46060. This licensed professional license is not current. The license was granted 12/31/1983 and expired on 12/31/1984.

Indiana

Professional Licensing Agency

GERALD C DETATA
Controlled Substance Registration - Physician
License number
01032214B
Date granted
12/31/1983
Date expires
12/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
11509 HARTFORD LN, NOBLESVILLE IN 46060
indianalicensing.org
ID 5906842
LAST UPDATED 2024-04-02 00:44:54 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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