HOWARD MICHAEL ADDIS
Controlled Substance Registration - Physician
Indiana 01024782B Revoked
This Indiana license was held by HOWARD MICHAEL ADDIS. The license is no longer active. It was granted on 10/31/1984 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01024782B
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 10/31/1984 (over 40 years ago)
- Expiry Date: 06/30/1997 (almost 28 years ago)
LOCATIONS
A Address
2102 EAST INWOOD, SOUTH BEND IN 46614