License holder summary

CYNTHIA ELLEN GANNON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CYNTHIA ELLEN GANNON is Pence Davis Medical Center of MGC, 2651 West South #800, Swayzee IN 46986. This licensed professional license is not current. The license was granted 02/23/1994 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

CYNTHIA ELLEN GANNON
Controlled Substance Registration - Physician
License number
01042254B
Date granted
02/23/1994
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Pence Davis Medical Center of MGC, 2651 West South #800, Swayzee IN 46986
indianalicensing.org
ID 5923629
LAST UPDATED 2024-04-21 21:57:36 UTC

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