Gary Jay Dietrich
Controlled Substance Registration - Physician
Indiana 01042007B Expired
This Indiana license was held by Gary Jay Dietrich. The license is no longer active. It was granted on 11/08/1993 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01042007B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/08/1993 (over 30 years ago)
- Expiry Date: 06/30/1995 (almost 29 years ago)
LOCATIONS
A Address
X-RAY CONSULTANTS INC, 720 E CEDAR SUITE 010, SOUTH BEND IN 46617