License holder summary

CARL B GROTHOUSE JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CARL B GROTHOUSE JR is P O BOX 3095, 402 S BERKLEY ROAD, KOKOMO IN 46901. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

CARL B GROTHOUSE JR
Controlled Substance Registration - Physician
License number
01017194B
Date granted
12/31/1985
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 3095, 402 S BERKLEY ROAD, KOKOMO IN 46901
indianalicensing.org
ID 5875703
LAST UPDATED 2024-04-27 19:32:35 UTC

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