JOHN A SHORT

Controlled Substance Registration - Physician

Indiana  01019120B   Expired

This Indiana license was held by JOHN A SHORT. The license is no longer active. It was granted on 01/31/1986 and expired on 06/30/2003

LICENSE DETAILS

  • License Number: 01019120B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 01/31/1986 (over 40 years ago)
  • Expiry Date: 06/30/2003 (almost 23 years ago)

LOCATIONS

A Address

4284 SOUTH C COURT, RICHMOND IN 47374