David Mathews Dersch
Controlled Substance Registration - Physician
Indiana 01019747B Expired
This Indiana license was held by David Mathews Dersch. The license is no longer active. It was granted on 10/31/1986 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01019747B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/31/1986 (over 37 years ago)
- Expiry Date: 06/30/2007 (almost 17 years ago)
LOCATIONS
A Address
2501 W. Jackson Street, Muncie IN 47303-4632