Dimitri G Polydefkis
Controlled Substance Registration - Physician
Indiana 01021320B Expired
This Indiana license was held by Dimitri G Polydefkis. The license is no longer active. It was granted on 12/31/1985 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01021320B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/31/1985 (over 39 years ago)
- Expiry Date: 06/30/1997 (almost 28 years ago)
LOCATIONS
A Address
706 RIDGE ROAD, MUNSTER IN 46321