JOHN HENRY IVY
Controlled Substance Registration - Physician
Indiana 01016916B Expired
This Indiana license was held by JOHN HENRY IVY. The license is no longer active. It was granted on 06/30/1986 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01016916B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/30/1986 (almost 38 years ago)
- Expiry Date: 06/30/1995 (almost 29 years ago)
LOCATIONS
A Address
56077 RIVERDALE DRIVE, ELKHART IN 46514