Indiana
Professional Licensing Agency
Joseph Dean Gifford
Controlled Substance Registration - Physician
License number
01020791B
Date granted
01/29/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
10 Golf Course Drive, Wabash IN 46992
indianalicensing.org
ID 5931895
LAST UPDATED 2024-02-18 22:28:16 UTC
LAST UPDATED 2024-02-18 22:28:16 UTC
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