Scott O. Davis
Controlled Substance Registration - Physician
Indiana 01059570B Expired
This Indiana license was held by Scott O. Davis. The license is no longer active. It was granted on 07/27/2004 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01059570B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/27/2004 (almost 20 years ago)
- Expiry Date: 06/30/2005 (about 19 years ago)
LOCATIONS
A Address
ATTN: Marcia Troup Medical Staff Office, 200 High Park Ave., Goshen IN 46526