Indiana
Professional Licensing Agency
Jack Charles Greisen
Controlled Substance Registration - Physician
License number
01016143B
Date granted
12/31/1985
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1836 FISHER STREET, MUNSTER IN 46321
indianalicensing.org
ID 5900452
LAST UPDATED 2024-03-10 23:16:03 UTC
LAST UPDATED 2024-03-10 23:16:03 UTC
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