WARREN DEAN BONTRAGER
Controlled Substance Registration - Physician
Indiana 01030959B Active
This Indiana license is held by WARREN DEAN BONTRAGER. The license is currently active. It was granted on 07/07/1995 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01030959B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/07/1995 (almost 29 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
416 E. Monroe St., Ste 200, South Bend IN 46601
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