License holder summary

JACK E DITTMER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JACK E DITTMER is 105 E RAILROAD ST, PO BOX 389, KOUTS IN 46347. This licensed professional license is not current. The license was granted 10/31/1984 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

JACK E DITTMER
Controlled Substance Registration - Physician
License number
01012609B
Date granted
10/31/1984
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
105 E RAILROAD ST, PO BOX 389, KOUTS IN 46347
indianalicensing.org
ID 5877580
LAST UPDATED 2024-01-27 02:09:03 UTC

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