ANDREW JACKSON MYRICK JR
Controlled Substance Registration - Physician
Indiana 01034526B Expired
This Indiana license was held by ANDREW JACKSON MYRICK JR. The license is no longer active. It was granted on 07/11/1985 and expired on 06/30/1989
LICENSE DETAILS
- License Number: 01034526B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/11/1985 (about 41 years ago)
- Expiry Date: 06/30/1989 (about 37 years ago)
LOCATIONS
A Address
400 ASH STREET, WABASH IN 46992