Indiana
Professional Licensing Agency
GORDON DALE WEIRICH
Controlled Substance Registration - Physician
License number
01029571B
Date granted
08/28/1979
Date expires
05/31/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
228 W BARLETT APT A, SOUTH BEND IN 46601
indianalicensing.org
ID 5921026
LAST UPDATED 2024-04-09 06:40:22 UTC
LAST UPDATED 2024-04-09 06:40:22 UTC
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