JACK PHILLIP COVELL

Controlled Substance Registration - Physician

Indiana  01024507B   Expired

This Indiana license was held by JACK PHILLIP COVELL. The license is no longer active. It was granted on 06/10/1986 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: 01024507B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 06/10/1986 (almost 39 years ago)
  • Expiry Date: 06/30/2007 (almost 18 years ago)

LOCATIONS

A Address

5631 COUNTY ROAD 29, P O BOX 601, Auburn IN 46706