Dale Dellacqua
Controlled Substance Registration - Physician
Indiana 01050231C Active
This Indiana license is held by Dale Dellacqua. The license is currently active. It was granted on 05/22/2001 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01050231C
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/22/2001 (about 23 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
639 S. Walker Street, Suite E, Bloomington IN 47403
Are you Dale Dellacqua? Show the world that you're licensed by displaying your personal badge.
Get Badge