Indiana
Professional Licensing Agency
Paul Stephen Dereska
Controlled Substance Registration-Osteopathic Physician
License number
02003523B
Date granted
10/06/2010
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
6595 Reserve Drive, Indianapolis IN 46220
indianalicensing.org
ID 5805378
LAST UPDATED 2024-05-06 18:34:31 UTC
LAST UPDATED 2024-05-06 18:34:31 UTC
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