Anna M. Pacis
Controlled Substance Registration - Physician
Indiana 01069364B Expired
This Indiana license was held by Anna M. Pacis. The license is no longer active. It was granted on 04/11/2011 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01069364B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/11/2011 (about 15 years ago)
- Expiry Date: 10/31/2013 (over 12 years ago)
LOCATIONS
A Address
North Shore Health Center, 3564 Scottsdale Street-PO BOX 1430, Portage IN 46368