Philip Matthew Spence
Controlled Substance Registration-Osteopathic Physician
Indiana 02003649B Expired
This Indiana license was held by Philip Matthew Spence. The license is no longer active. It was granted on 03/25/2010 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 02003649B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 03/25/2010 (about 15 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
1650 45th Avenue, Ste 2C, Munster IN 46321