Indiana
Professional Licensing Agency
Michael Phillip Dick
Controlled Substance Registration - Physician
License number
01041905C
Date granted
07/17/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WINSLOW HEALTH CARE, 200 EAST WINSLOW ROAD, BLOOMINGTON IN 47401
indianalicensing.org
ID 5825346
LAST UPDATED 2024-05-01 11:52:04 UTC
LAST UPDATED 2024-05-01 11:52:04 UTC
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