Gregory Lee Todd

Controlled Substance Registration - Physician

Indiana  01069009B   Active

This Indiana license is held by Gregory Lee Todd. The license is currently active. It was granted on 01/06/2011 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01069009B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 01/06/2011 (over 14 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Fairhaven Obstetrics & Gynecology, INC., 1111 Lighthouse Lane, Goshen IN 46526