Julie C Isham
Controlled Substance Registration - Physician
Indiana 01046208B Surrendered
This Indiana license was held by Julie C Isham. The license is no longer active. It was granted on 07/28/1997 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01046208B
- Category: CSR-Physician
- Status: Surrendered
- Date Granted: 07/28/1997 (almost 29 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
PHYSICIANS PRIMARY CARE, 1804 EAST 10TH STREET, JEFFERSONVILLE IN 47130