Indiana
Professional Licensing Agency
John David Diekmann
Controlled Substance Registration - Dentist
License number
12007227B
Date granted
07/30/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
625 W. Mill Rd., Evansville IN 47710
indianalicensing.org
ID 5092207
LAST UPDATED 2024-04-06 13:11:16 UTC
LAST UPDATED 2024-04-06 13:11:16 UTC
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