Indiana
Professional Licensing Agency
W. David Pepple
Controlled Substance Registration - Physician
License number
01023389B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northeast Regional Famil Practice, 10327 Dawson Creek Blvd, Fort Wayne IN 46825
indianalicensing.org
ID 5854694
LAST UPDATED 2024-04-15 23:06:46 UTC
LAST UPDATED 2024-04-15 23:06:46 UTC
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