John David Reisman

Controlled Substance Registration - Physician

Indiana  01040939B   Active

This Indiana license is held by John David Reisman. The license is currently active. It was granted on 01/11/1993 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01040939B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 01/11/1993 (over 33 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

2600 Greenbush Street, Lafayette IN 47904