June Hazel Pollydore
Controlled Substance Registration - Physician
Indiana 01056412B Active
This Indiana license is held by June Hazel Pollydore. The license is currently active. It was granted on 07/10/2002 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01056412B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/10/2002 (almost 24 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
275 West 12th Street, Peru IN 46970
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