Larry Marc Greenbaum

Controlled Substance Registration - Physician

Indiana  01041115B   Active

This Indiana license is held by Larry Marc Greenbaum. The license is currently active. It was granted on 02/25/1993 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01041115B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 02/25/1993 (about 32 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Indiana Internal Medicine, 701 E. County Line Road, Suite 101, Greenwood IN 46143