MICHAEL C MINICK

Controlled Substance Registration - Physician

Indiana  01029514B   Expired

This Indiana license was held by MICHAEL C MINICK. The license is no longer active. It was granted on 08/17/1979 and expired on 07/31/1985

LICENSE DETAILS

  • License Number: 01029514B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 08/17/1979 (almost 46 years ago)
  • Expiry Date: 07/31/1985 (almost 40 years ago)

LOCATIONS

A Address

200 W WHITLEY ST, CHURUBUSCO IN 46723