JAMES WILLIAM GREEN
Controlled Substance Registration - Physician
Indiana 01035327B Expired
This Indiana license was held by JAMES WILLIAM GREEN. The license is no longer active. It was granted on 09/04/1986 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01035327B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/04/1986 (over 38 years ago)
- Expiry Date: 06/30/1993 (almost 32 years ago)
LOCATIONS
A Address
2218 TIMBERLAKE TRAIL, FORT WAYNE IN 46804