DAVID ALAN LARSON

Controlled Substance Registration - Physician

Indiana  01035896B   Expired

This Indiana license was held by DAVID ALAN LARSON. The license is no longer active. It was granted on 06/09/1987 and expired on 06/30/1989

LICENSE DETAILS

  • License Number: 01035896B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 06/09/1987 (about 38 years ago)
  • Expiry Date: 06/30/1989 (almost 36 years ago)

LOCATIONS

A Address

ALLEN COUNTY RADIOLOGY ASSOC, 6211 COVINGTON ROAD, FORT WAYNE IN 46804