Leonard J Green, III
Controlled Substance Registration - Physician
Indiana 01027059D Revoked
This Indiana license was held by Leonard J Green, III. The license is no longer active. It was granted on 07/23/2010 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01027059D
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 07/23/2010 (over 13 years ago)
- Expiry Date: 10/31/2013 (over 10 years ago)
LOCATIONS
A Address
Family Practice of Jay County, 428 West Votaw St. Suite# A, Portland IN 47371