EUGENE GAYLE ROACH
Controlled Substance Registration - Physician
Indiana 01024082B Expired
This Indiana license was held by EUGENE GAYLE ROACH. The license is no longer active. It was granted on 08/31/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01024082B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/31/1986 (almost 40 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
406 IRONWOOD LANE, Anderson IN 46011