Dennis Wayne Dalphond

Controlled Substance Registration - Physician

Indiana  01030856B   Active

This Indiana license is held by Dennis Wayne Dalphond. The license is currently active. It was granted on 06/30/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01030856B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/30/1986 (almost 40 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Dennis Dalphond MD, 108 West State Street, North Judson IN 46366