SEEMA MODAK MERNITZ
Controlled Substance Registration - Physician
Indiana 01047112B Expired
This Indiana license was held by SEEMA MODAK MERNITZ. The license is no longer active. It was granted on 05/24/1999 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01047112B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/24/1999 (about 26 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
14154 Ledgewood Way, Carmel IN 46032