License holder summary

Lewis R Domke, Jr is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lewis R Domke, Jr is P.O. Box 885, Washington IN 47501-0885. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Lewis R Domke, Jr
Controlled Substance Registration - Physician
License number
01028434B
Date granted
05/31/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P.O. Box 885, Washington IN 47501-0885
indianalicensing.org
ID 5933262
LAST UPDATED 2024-04-19 21:02:21 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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