Indiana
Professional Licensing Agency
John William Dean
Controlled Substance Registration - Physician
License number
01047076B
Date granted
03/15/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Marion General Radiology, 830 North Theatre Drive, Marion IN 46952
indianalicensing.org
ID 5888231
LAST UPDATED 2024-04-01 22:42:46 UTC
LAST UPDATED 2024-04-01 22:42:46 UTC
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