EUGENE T DMYTRYK II
Controlled Substance Registration - Physician
Indiana 01029134B Surrendered
This Indiana license was held by EUGENE T DMYTRYK II. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01029134B
- Category: CSR-Physician
- Status: Surrendered
- Date Granted: 04/30/1986 (about 39 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
2512 Q STREET, BEDFORD IN 47421