James Edward Dickerson
Controlled Substance Registration-Osteopathic Physician
Indiana 02001560B Suspended
This Indiana license was held by James Edward Dickerson. The license is no longer active. It was granted on 07/01/1994 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 02001560B
- Category: CSR-Osteopathic Physician
- Status: Suspended
- Date Granted: 07/01/1994 (almost 30 years ago)
- Expiry Date: 06/30/1999 (almost 25 years ago)
LOCATIONS
A Address
FAMILY PRACTICE CENTER C H E, 5502 EAST 16TH ST, INDIANAPOLIS IN 46218