License holder summary

DENYSE D BANNAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DENYSE D BANNAN is ST MARY, 540 TYLER STREET, GARY IN IN 46402. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

DENYSE D BANNAN
Controlled Substance Registration - Physician
License number
01030159B
Date granted
08/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARY, 540 TYLER STREET, GARY IN IN 46402
indianalicensing.org
ID 5856457
LAST UPDATED 2024-03-27 10:02:13 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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