Paula Ann Gustafson
Controlled Substance Registration - Physician
Indiana 01044150C Expired
This Indiana license was held by Paula Ann Gustafson. The license is no longer active. It was granted on 04/03/1997 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01044150C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/03/1997 (over 28 years ago)
- Expiry Date: 06/30/1999 (about 26 years ago)
LOCATIONS
A Address
FAYETTE MEMORIAL HOSPITAL, 1941 VIRGINIA AVENUE, CONNERSVILLE IN 47331