David C. Gastineau
Controlled Substance Registration - Physician
Indiana 01015232B Expired
This Indiana license was held by David C. Gastineau. The license is no longer active. It was granted on 12/31/1985 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01015232B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/31/1985 (over 38 years ago)
- Expiry Date: 06/30/1991 (almost 33 years ago)
LOCATIONS
A Address
2200 LAKE AVE #150, FORT WAYNE IN 46805