GORDON COLVIN CRATES
Controlled Substance Registration - Physician
Indiana 01019740B Expired
This Indiana license was held by GORDON COLVIN CRATES. The license is no longer active. It was granted on 11/30/1983 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01019740B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/30/1983 (over 42 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
321 NORTH FREMONT, PERU IN 46970