Dwain Clark Illman
Controlled Substance Registration - Physician
Indiana 01027208B Active
This Indiana license is held by Dwain Clark Illman. The license is currently active. It was granted on 05/31/1985 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01027208B
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/31/1985 (about 40 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
BLOOMINGTON HOSPITAL - EMERGENCY DEPT, 601 WEST SECOND STREET, BLOOMINGTON IN 47403
Are you Dwain Clark Illman? Show the world that you're licensed by displaying your personal badge.
Get Badge