George Mauzy Underwood
Controlled Substance Registration - Physician
Indiana 01017785C Expired
This Indiana license was held by George Mauzy Underwood. The license is no longer active. It was granted on 06/15/2007 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01017785C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/15/2007 (about 17 years ago)
- Expiry Date: 06/30/2009 (almost 15 years ago)
LOCATIONS
A Address
2323 Ferry Street, Suite 101, Lafayette IN 47904