Dariusz Grzegorz Mydlarz

Controlled Substance Registration - Physician

Indiana  01064761B   Expired

This Indiana license was held by Dariusz Grzegorz Mydlarz. The license is no longer active. It was granted on 02/11/2008 and expired on 06/30/2011

LICENSE DETAILS

  • License Number: 01064761B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 02/11/2008 (over 17 years ago)
  • Expiry Date: 06/30/2011 (almost 14 years ago)

LOCATIONS

A Address

Madison County Community Health Clinic, 1547 Ohio Avenue, Anderson IN 46015