JOSE S GERONIMO
Controlled Substance Registration - Physician
Indiana 01025617B Surrendered
This Indiana license was held by JOSE S GERONIMO. The license is no longer active. It was granted on 12/31/1985 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01025617B
- Category: CSR-Physician
- Status: Surrendered
- Date Granted: 12/31/1985 (over 39 years ago)
- Expiry Date: 06/30/1991 (almost 34 years ago)
LOCATIONS
A Address
1720 SOUTH GREEN RIVER ROAD, EVANSVILLE IN 47715