License holder summary

GERALD JOHN BANNASCH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GERALD JOHN BANNASCH is 1401 PROFESSIONAL BOULEVARD, EVANSVILLE IN 47714. This licensed professional license is not current. The license was granted 12/29/1987 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

GERALD JOHN BANNASCH
Controlled Substance Registration - Physician
License number
01036452B
Date granted
12/29/1987
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1401 PROFESSIONAL BOULEVARD, EVANSVILLE IN 47714
indianalicensing.org
ID 5849902
LAST UPDATED 2024-03-15 13:18:58 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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