Michael Phillip Dick
Controlled Substance Registration - Physician
Indiana 01041905B Active
This Indiana license is held by Michael Phillip Dick. The license is currently active. It was granted on 11/23/1993 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01041905B
- Category: CSR-Physician
- Status: Active
- Date Granted: 11/23/1993 (over 32 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
Northeast Indiana Pediatric Specialists, PC, 11123 Parkview Plaza Dr., Ste 102, Fort Wayne IN 46845
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