DEREK IVES GROSSMAN
Controlled Substance Registration-Osteopathic Physician
Indiana 02001106B Expired
This Indiana license was held by DEREK IVES GROSSMAN. The license is no longer active. It was granted on 07/06/1989 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 02001106B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/06/1989 (almost 36 years ago)
- Expiry Date: 06/30/1995 (almost 30 years ago)
LOCATIONS
A Address
MICHIANA COMMUNITY HOSPITAL, 2515 EAST JEFFERSON BOULEVARD, SOUTH BEND IN 46615