Indiana
Professional Licensing Agency
Richard W. Dyke
Controlled Substance Registration - Physician
License number
01014941B
Date granted
10/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
542 West 83rd Street, Indianapolis IN 46260
indianalicensing.org
ID 5870563
LAST UPDATED 2024-04-03 20:11:12 UTC
LAST UPDATED 2024-04-03 20:11:12 UTC
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