License holder summary

DEREK IVES GROSSMAN is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for DEREK IVES GROSSMAN is MICHIANA COMMUNITY HOSPITAL, 2515 EAST JEFFERSON BOULEVARD, SOUTH BEND IN 46615. This licensed professional license is not current. The license was granted 07/06/1989 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

DEREK IVES GROSSMAN
Controlled Substance Registration-Osteopathic Physician
License number
02001106B
Date granted
07/06/1989
Date expires
06/30/1995
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
MICHIANA COMMUNITY HOSPITAL, 2515 EAST JEFFERSON BOULEVARD, SOUTH BEND IN 46615
indianalicensing.org
ID 5813271
LAST UPDATED 2024-03-09 14:24:39 UTC

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