CHESTER JOHN KMAK
Controlled Substance Registration - Physician
Indiana 01017741B Expired
This Indiana license was held by CHESTER JOHN KMAK. The license is no longer active. It was granted on 05/31/1986 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01017741B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/31/1986 (about 38 years ago)
- Expiry Date: 06/30/1995 (almost 29 years ago)
LOCATIONS
A Address
420 EAST 86TH AVENUE, MERRILLVILLE IN 46410