PETER WILLIAM JANNACE
Controlled Substance Registration - Physician
Indiana 01043419B Expired
This Indiana license was held by PETER WILLIAM JANNACE. The license is no longer active. It was granted on 01/31/1995 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01043419B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1995 (about 30 years ago)
- Expiry Date: 06/30/1999 (almost 26 years ago)
LOCATIONS
A Address
HUMANA GREENTREE MEDICAL OFFICE, 1615 BLACKISTON VIEW DRIVE, CLARKSVILLE IN 47129