Philip Anthony Decker
Controlled Substance Registration - Physician
Indiana 01056579C Expired
This Indiana license was held by Philip Anthony Decker. The license is no longer active. It was granted on 01/08/2004 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01056579C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/08/2004 (over 21 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
1116 Millis Ave. PO Box 629, Boonville IN 47601