Kailas Deepak Dave
Controlled Substance Registration - Physician
Indiana 01067767B Expired
This Indiana license was held by Kailas Deepak Dave. The license is no longer active. It was granted on 02/04/2010 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01067767B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/04/2010 (over 15 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Kosciusko Community Hospital, 2501 E Center Street 3rd floor, Warsaw IN 46582