John Matthew Gorup
Controlled Substance Registration - Physician
Indiana 01046921B Active
This Indiana license is held by John Matthew Gorup. The license is currently active. It was granted on 06/26/1997 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01046921B
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/26/1997 (about 29 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Indiana Spine Center, 1345 Unity Place, Suite 310, Lafayette IN 47905
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