ANNETTE G BURST
Controlled Substance Registration - Physician
Indiana 01023829B Expired
This Indiana license was held by ANNETTE G BURST. The license is no longer active. It was granted on 02/14/2000 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01023829B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/14/2000 (over 26 years ago)
- Expiry Date: 06/30/2007 (about 19 years ago)
LOCATIONS
A Address
10509 OAK TRAIL, Fort Wayne IN 46845