Indiana
Professional Licensing Agency
James Michael Devereaux
Controlled Substance Registration - Physician
License number
01027029B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ST JOSEPH MED CENTER, 801 E LASALLE, SOUTH BEND IN 46634
indianalicensing.org
ID 5921174
LAST UPDATED 2024-04-09 09:04:10 UTC
LAST UPDATED 2024-04-09 09:04:10 UTC
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