PASQUALE JOSEPH AMICO

Controlled Substance Registration - Physician

Indiana  01017517B   Expired

This Indiana license was held by PASQUALE JOSEPH AMICO. The license is no longer active. It was granted on 11/30/1986 and expired on 06/30/1993

LICENSE DETAILS

  • License Number: 01017517B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 11/30/1986 (over 39 years ago)
  • Expiry Date: 06/30/1993 (almost 33 years ago)

LOCATIONS

A Address

2119 WEST 50TH PLACE, GARY IN 46408