Douglas Samuel Conard
Controlled Substance Registration - Physician
Indiana 01028562B Expired
This Indiana license was held by Douglas Samuel Conard. The license is no longer active. It was granted on 08/31/1985 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01028562B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/31/1985 (almost 41 years ago)
- Expiry Date: 10/31/2013 (over 12 years ago)
LOCATIONS
A Address
316 Wildwood Lane, Lafayette IN 47905