David J. Janicki
Controlled Substance Registration - Physician
Indiana 01024050B Active
This Indiana license is held by David J. Janicki. The license is currently active. It was granted on 06/30/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01024050B
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/30/1986 (almost 39 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
PROVIDENCE MEDICAL GROUP, 2723 South Seventh Street, Suite D, Terre Haute IN 47802
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