License holder summary

Alan Genicoff is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alan Genicoff is Decatur County Memorial Hospital c/o Medical Staff, 720 North Lincoln Street, Greensburg IN 47240-1398. This licensed professional license is not current. The license was granted 05/17/2004 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Alan Genicoff
Controlled Substance Registration - Physician
License number
01059122B
Date granted
05/17/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Decatur County Memorial Hospital c/o Medical Staff, 720 North Lincoln Street, Greensburg IN 47240-1398
indianalicensing.org
ID 5860896
LAST UPDATED 2024-03-03 11:52:52 UTC

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