Indiana
Professional Licensing Agency
Gene William Grove
Controlled Substance Registration - Physician
License number
01042513B
Date granted
05/26/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
OSMC, 2310 CALIFORNIA ROAD, ELKHART IN 46514
indianalicensing.org
ID 5847228
LAST UPDATED 2024-04-25 17:53:32 UTC
LAST UPDATED 2024-04-25 17:53:32 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.