License holder summary

WARREN DEAN BONTRAGER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WARREN DEAN BONTRAGER is 416 E. Monroe St., Ste 200, South Bend IN 46601. This licensed professional license is current. The license was granted 07/07/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

WARREN DEAN BONTRAGER
Controlled Substance Registration - Physician
License number
01030959B
Date granted
07/07/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
416 E. Monroe St., Ste 200, South Bend IN 46601
indianalicensing.org
ID 5922641
LAST UPDATED 2024-02-04 19:06:37 UTC

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