Henry Johannes Davis
Controlled Substance Registration - Physician
Indiana 01044622B Suspended
This Indiana license was held by Henry Johannes Davis. The license is no longer active. It was granted on 01/25/1996 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01044622B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 01/25/1996 (about 29 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Providence Medical Group, 2723 South 7th Street, Suite G, Terre Haute IN 47802