Donna Fenton Gibson
Controlled Substance Registration - Physician
Indiana 01041910D Expired
This Indiana license was held by Donna Fenton Gibson. The license is no longer active. It was granted on 02/21/2005 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01041910D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/21/2005 (over 21 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
Grant-Blackford Mental Health, 505 Wabash Avenue, Marion IN 46952