License holder summary

Barbara Jean Divish is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Barbara Jean Divish is SHELBYVILLE PEDIATRICS, 30 WEST RAMPART STREET SUITE 250, Shelbyville IN 46176. This licensed professional license is not current. The license was granted 06/22/2000 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Barbara Jean Divish
Controlled Substance Registration - Physician
License number
01048913B
Date granted
06/22/2000
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SHELBYVILLE PEDIATRICS, 30 WEST RAMPART STREET SUITE 250, Shelbyville IN 46176
indianalicensing.org
ID 5919090
LAST UPDATED 2024-04-28 16:15:30 UTC

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