David O. Magnante

Controlled Substance Registration - Physician

Indiana  01045133B   Active

This Indiana license is held by David O. Magnante. The license is currently active. It was granted on 05/23/1996 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01045133B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 05/23/1996 (about 28 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

975 Mezanine Drive,Suite B, Lafayette IN 47905