IRENE MARY O NEILL
Controlled Substance Registration - Physician
Indiana 01042138B Expired
This Indiana license was held by IRENE MARY O NEILL. The license is no longer active. It was granted on 01/27/1994 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01042138B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/27/1994 (over 32 years ago)
- Expiry Date: 06/30/2001 (almost 25 years ago)
LOCATIONS
A Address
PORTAGE MEDICAL SURGICAL CENTER, 3630 WILLOWCREEK ROAD, PORTAGE IN 46368