BASIL JOSEPH DATZMAN
Controlled Substance Registration - Physician
Indiana 01018749B Expired
This Indiana license was held by BASIL JOSEPH DATZMAN. The license is no longer active. It was granted on 10/31/1986 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01018749B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/31/1986 (over 38 years ago)
- Expiry Date: 06/30/1997 (almost 28 years ago)
LOCATIONS
A Address
R R 4 BOX 18 A, ATTICA IN 47918