License holder summary

Robert Wayne Dettmer is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Robert Wayne Dettmer is 2935 Ambleside Court, Fort Wayne IN 46804. This licensed professional license is current. The license was granted 07/31/1986 and expired on 10/31/2015.

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 2026-03-31 01:12:01 UTC

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