Indiana
Professional Licensing Agency
John W. Derr
Controlled Substance Registration - Physician
License number
01039853B
Date granted
05/19/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1850 State Street, New Albany IN 47150
indianalicensing.org
ID 5902934
LAST UPDATED 2024-04-02 22:49:28 UTC
LAST UPDATED 2024-04-02 22:49:28 UTC
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