Indiana
Professional Licensing Agency
Robert Wayne Dettmer
Controlled Substance Registration - Physician
License number
01022140B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2935 Ambleside Court, Fort Wayne IN 46804
indianalicensing.org
ID 5854422
LAST UPDATED 2024-05-04 23:59:26 UTC
LAST UPDATED 2024-05-04 23:59:26 UTC
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