Dale Marvin Kristle
Controlled Substance Registration - Physician
Indiana 01057310B Expired
This Indiana license was held by Dale Marvin Kristle. The license is no longer active. It was granted on 03/06/2003 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01057310B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/06/2003 (over 21 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
1116 Millis Avenue, Suite#201A, Boonville IN 47601