MAXENCE JEANTY
Controlled Substance Registration - Physician
Indiana 01035516B Expired
This Indiana license was held by MAXENCE JEANTY. The license is no longer active. It was granted on 11/25/1986 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01035516B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/25/1986 (over 38 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
619 13th Street, Logansport IN 46947