Indiana
Professional Licensing Agency
Jerad Michael Dalton
Controlled Substance Registration-Osteopathic Physician
License number
02002874B
Date granted
05/11/2005
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
10585 N. Meridian Street, Suite 201, Indianapolis IN 46290
indianalicensing.org
ID 5804733
LAST UPDATED 2024-02-05 10:30:03 UTC
LAST UPDATED 2024-02-05 10:30:03 UTC
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