DANILO JOSE GERVACIO

Controlled Substance Registration - Physician

Indiana  01036323B   Expired

This Indiana license was held by DANILO JOSE GERVACIO. The license is no longer active. It was granted on 09/25/1987 and expired on 06/30/1993

LICENSE DETAILS

  • License Number: 01036323B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 09/25/1987 (over 37 years ago)
  • Expiry Date: 06/30/1993 (almost 32 years ago)

LOCATIONS

A Address

MEDICAL ARTS BLDG SUITE 203, 207 SPARKS AVENUE PO BOX 826, JEFFERSONVILLE IN 47130