License holder summary

RAYMOND J DEFALQUE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RAYMOND J DEFALQUE is 13780 Langley Dr., Carmel IN 46032. This licensed professional license is not current. The license was granted 10/31/1982 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

RAYMOND J DEFALQUE
Controlled Substance Registration - Physician
License number
01018860B
Date granted
10/31/1982
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
13780 Langley Dr., Carmel IN 46032
indianalicensing.org
ID 5831698
LAST UPDATED 2024-03-08 08:06:13 UTC

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