Ima A Test Zzz03
Controlled Substance Registration - Podiatrist
Indiana 07000000C Expired
This Indiana license was held by Ima A Test Zzz03. The license is no longer active. It was granted on 01/01/1990 and expired on 06/30/2013
LICENSE DETAILS
- License Number: 07000000C
- Category: CSR-Podiatrist
- Status: Expired
- Date Granted: 01/01/1990 (over 34 years ago)
- Expiry Date: 06/30/2013 (almost 11 years ago)
LOCATIONS
A Address
Group 05 CSR C, 402 W. Washington St. Room W072, Indianapolis IN 46204