License holder summary

Lawrence Roy Dultz is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lawrence Roy Dultz is UAP Clinic, LLC, 1429 North 6th Street, Terre Haute IN 47807-1037. This licensed professional license is current. The license was granted 01/25/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lawrence Roy Dultz
Controlled Substance Registration - Physician
License number
01044627B
Date granted
01/25/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
UAP Clinic, LLC, 1429 North 6th Street, Terre Haute IN 47807-1037
indianalicensing.org
ID 5925823
LAST UPDATED 2024-04-19 17:52:40 UTC

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