Indiana
Professional Licensing Agency
JOHN DICKINSON HALL
Controlled Substance Registration-Osteopathic Physician
License number
02000047B
Date granted
03/31/1984
Date expires
06/30/1991
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
200 WEST DIAMOND STREET, KENDALLVILLE IN 46755
indianalicensing.org
ID 5806326
LAST UPDATED 2024-02-19 19:17:24 UTC
LAST UPDATED 2024-02-19 19:17:24 UTC
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