Paul Stephen Dereska
Controlled Substance Registration-Osteopathic Physician
Indiana 02003523B Expired
This Indiana license was held by Paul Stephen Dereska. The license is no longer active. It was granted on 10/06/2010 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 02003523B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 10/06/2010 (over 15 years ago)
- Expiry Date: 10/31/2013 (over 12 years ago)
LOCATIONS
A Address
6595 Reserve Drive, Indianapolis IN 46220