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 The license is no longer active.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