License holder summary

JAN CALVERT GREEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JAN CALVERT GREEN is 146 EAST NORTH SHORE DRIVE, South Bend IN 46617. This licensed professional license is not current. The license was granted 10/31/1985 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

JAN CALVERT GREEN
Controlled Substance Registration - Physician
License number
01021160B
Date granted
10/31/1985
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
146 EAST NORTH SHORE DRIVE, South Bend IN 46617
indianalicensing.org
ID 5921225
LAST UPDATED 2024-02-29 11:59:10 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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