BART JOSEPH DE BROCK

Controlled Substance Registration - Physician

Indiana  01044481B   Active

This Indiana license is held by BART JOSEPH DE BROCK. The license is currently active. It was granted on 12/07/1995 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01044481B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 12/07/1995 (over 29 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

UROLOGY SPECOALISTS P C, 200 SOUTH SIXTH STREET, VINCENNES IN 47591