Irene M. Gordon
Controlled Substance Registration - Physician
Indiana 01031583B Active
This Indiana license is held by Irene M. Gordon. The license is currently active. It was granted on 04/30/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01031583B
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/30/1986 (over 40 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Faith Hope & Love Cancer Care, 1425 Unity Place, P.O. Box 4699, Lafayette IN 47903-4699
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