Ima A Test Zzz03
Controlled Substance Registration-Osteopathic Physician
Indiana 02000000B Expired
This Indiana license was held by Ima A Test Zzz03. The license is no longer active. It was granted on 01/01/1990 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 02000000B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 01/01/1990 (over 36 years ago)
- Expiry Date: 10/31/2013 (almost 13 years ago)
LOCATIONS
A Address
CSR B DO, 402 W. Washington St. Room W072, Indianapolis IN 46204