Bert Ira Davis

Controlled Substance Registration - Physician

Indiana  01024042B   Active

This Indiana license is held by Bert Ira Davis. The license is currently active. It was granted on 10/31/1985 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01024042B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 10/31/1985 (over 40 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

6907South 600 West, Pendleton IN 46064