NORVAL EDWARD GREEN
Controlled Substance Registration - Physician
Indiana 01015344B Expired
This Indiana license was held by NORVAL EDWARD GREEN. The license is no longer active. It was granted on 11/20/1947 and expired on 12/31/1983
LICENSE DETAILS
- License Number: 01015344B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/20/1947 (over 76 years ago)
- Expiry Date: 12/31/1983 (over 40 years ago)
LOCATIONS
A Address
513 NORTH MICHIGAN, SOUTH BEND IN 46601