Dale Forrest Leonard
Controlled Substance Registration - Physician
Indiana 01020478B Expired
This Indiana license was held by Dale Forrest Leonard. The license is no longer active. It was granted on 11/05/1999 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01020478B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/05/1999 (over 25 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
505 S GREEN ST, BROWNSBURG IN 46112