VAN STEVEN MASK
Controlled Substance Registration - Physician
Indiana 01039693B Expired
This Indiana license was held by VAN STEVEN MASK. The license is no longer active. It was granted on 08/22/1991 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01039693B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/22/1991 (almost 34 years ago)
- Expiry Date: 06/30/1993 (almost 32 years ago)
LOCATIONS
A Address
GIBSON GENERAL HOSP EMERGENCY DEPT, 1808 SHERMAN DRIVE, PRINCETON IN 47670