John T. Geneczko, Jr.
Controlled Substance Registration - Physician
Indiana 01036161B Expired
This Indiana license was held by John T. Geneczko, Jr.. The license is no longer active. It was granted on 07/27/1987 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01036161B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/27/1987 (almost 38 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
2600 GREENBUSH STREET, LAFAYETTE IN 47904