JOHN S BANAS

Controlled Substance Registration - Physician

Indiana  01034183B   Expired

This Indiana license was held by JOHN S BANAS. The license is no longer active. It was granted on 04/02/1985 and expired on 06/30/1989

LICENSE DETAILS

  • License Number: 01034183B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 04/02/1985 (about 39 years ago)
  • Expiry Date: 06/30/1989 (almost 35 years ago)

LOCATIONS

A Address

2458 LAKE AVENUE, FORT WAYNE IN 46805