David M. Diehl

Controlled Substance Registration - Dentist

Indiana  12010145B   Active

This Indiana license is held by David M. Diehl. The license is currently active. It was granted on 08/17/1999 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010145B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 08/17/1999 (almost 26 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

10215 Dupont Circle Drive West, Fort Wayne IN 46825-1656