Jeremy Wade Roscoe

Controlled Substance Registration - Physician

Indiana  01057187B   Active

This Indiana license is held by Jeremy Wade Roscoe. The license is currently active. It was granted on 02/12/2004 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01057187B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 02/12/2004 (over 21 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Clown Pediatrics, P.C., 401 Camby Court, Greenwood IN 46142