David W. Bashover
Controlled Substance Registration - Physician
Indiana 01029407B Expired
This Indiana license was held by David W. Bashover. The license is no longer active. It was granted on 11/25/1997 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01029407B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/25/1997 (over 27 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
3718 North 900 East, Greentown IN 46936