License holder summary

RANDAL KENT DETWILER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RANDAL KENT DETWILER is DIALYSIS SERVICES OF INDIANA, 321 MITCHELL AVE P O BOX 278, BATESVILLE IN 47006. This licensed professional license is not current. The license was granted 06/15/1992 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

RANDAL KENT DETWILER
Controlled Substance Registration - Physician
License number
01040312B
Date granted
06/15/1992
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DIALYSIS SERVICES OF INDIANA, 321 MITCHELL AVE P O BOX 278, BATESVILLE IN 47006
indianalicensing.org
ID 5821487
LAST UPDATED 2024-04-20 00:05:47 UTC

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