Jefferson John Davis
Controlled Substance Registration-Osteopathic Physician
Indiana 02002956B Expired
This Indiana license was held by Jefferson John Davis. The license is no longer active. It was granted on 06/23/2005 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 02002956B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/23/2005 (almost 21 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
Ortho Indy, 1801 N. Senate Blvd. #200, Indianapolis IN 46202