Indiana
Professional Licensing Agency
JAMES WILLIAM GREEN
Controlled Substance Registration - Physician
License number
01035327B
Date granted
09/04/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2218 TIMBERLAKE TRAIL, FORT WAYNE IN 46804
indianalicensing.org
ID 5853563
LAST UPDATED 2024-03-22 14:42:02 UTC
LAST UPDATED 2024-03-22 14:42:02 UTC
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