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 The license is no longer active.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