Gordon Daniel Welk

Controlled Substance Registration - Physician

Indiana  01025175C   Expired

This Indiana license was held by Gordon Daniel Welk. The license is no longer active. It was granted on 10/27/1997 and expired on 10/31/2013

LICENSE DETAILS

  • License Number: 01025175C
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/27/1997 (over 28 years ago)
  • Expiry Date: 10/31/2013 (over 12 years ago)

LOCATIONS

A Address

2600 Greenbush Street, Lafayette IN 47904