SERVANDO N PESARILLO
Controlled Substance Registration - Physician
Indiana 01022299B Expired
This Indiana license was held by SERVANDO N PESARILLO. The license is no longer active. It was granted on 09/09/1968 and expired on 12/31/1984
LICENSE DETAILS
- License Number: 01022299B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/09/1968 (almost 57 years ago)
- Expiry Date: 12/31/1984 (over 40 years ago)
LOCATIONS
A Address
3900 SOUTHLAND AVENUE, KOKOMO IN 46901