JEFFREY A IVANOFF
Controlled Substance Registration - Physician
Indiana 01040917B Expired
This Indiana license was held by JEFFREY A IVANOFF. The license is no longer active. It was granted on 05/13/1993 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01040917B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/13/1993 (about 31 years ago)
- Expiry Date: 06/30/1995 (about 29 years ago)
LOCATIONS
A Address
KOALA HOSPITAL, 1800 N OAK RD P O BOX 638, PLYMOUTH IN 46563