Daniel John Triezenberg

Controlled Substance Registration - Physician

Indiana  01050823B   Active

This Indiana license is held by Daniel John Triezenberg. The license is currently active. It was granted on 07/28/1999 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01050823B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/28/1999 (over 25 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

HealthLinc Community Health Center, 420 W. 4th St., Mishawaka IN 46544-1948