Lawrence Roy Dultz
Controlled Substance Registration - Physician
Indiana 01044627B Active
This Indiana license is held by Lawrence Roy Dultz. The license is currently active. It was granted on 01/25/1996 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01044627B
- Category: CSR-Physician
- Status: Active
- Date Granted: 01/25/1996 (over 29 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
UAP Clinic, LLC, 1429 North 6th Street, Terre Haute IN 47807-1037
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