Indiana
Professional Licensing Agency
Richard Dean Baumgartner
Controlled Substance Registration-Physician Assistant
License number
10000092B
Date granted
10/28/2011
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
955 High Street Ste 3, Decatur IN 46733
indianalicensing.org
ID 8386224
LAST UPDATED 2026-04-09 18:16:36 UTC
LAST UPDATED 2026-04-09 18:16:36 UTC
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