JOSEPH BERNARD GRACE
Controlled Substance Registration - Physician
Indiana 01044696B Expired
This Indiana license was held by JOSEPH BERNARD GRACE. The license is no longer active. It was granted on 01/25/1996 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01044696B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/25/1996 (over 30 years ago)
- Expiry Date: 06/30/1997 (almost 29 years ago)
LOCATIONS
A Address
AFFILIATED INTERNAL MEDICINE SPECIALIST, 1919 LAKE AVE, PLYMOUTH IN 46563