BRIAN DAVE DIETERLE
Controlled Substance Registration - Physician
Indiana 01040638B Expired
This Indiana license was held by BRIAN DAVE DIETERLE. The license is no longer active. It was granted on 08/03/1992 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01040638B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/03/1992 (almost 34 years ago)
- Expiry Date: 06/30/1995 (almost 31 years ago)
LOCATIONS
A Address
100 N 15TH ST, RICHMOND IN 47374