Gregory G. Van Fossen

Nursing Board - Csr Prescriptive Authority

Indiana  71001747B   Expired

This Indiana license was held by Gregory G. Van Fossen. The license is no longer active. It was granted on 05/20/2004 and expired on 10/31/2011

LICENSE DETAILS

  • License Number: 71001747B
  • Category: CSR-Prescriptive Authority
  • Status: Expired
  • Date Granted: 05/20/2004 (almost 21 years ago)
  • Expiry Date: 10/31/2011 (over 13 years ago)

LOCATIONS

A Address

MedPoint Express, 3900 E Bristol Street, Elkhart IN 46514