BRIAN NICHOLAS IVANOVIC
Controlled Substance Registration-Osteopathic Physician
Indiana 02001852B Active
This Indiana license is held by BRIAN NICHOLAS IVANOVIC. The license is currently active. It was granted on 08/06/1997 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 02001852B
- Category: CSR-Osteopathic Physician
- Status: Active
- Date Granted: 08/06/1997 (almost 28 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
6311 APPLEJACK RUN, FORT WAYNE IN 46814
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