License holder summary

JAMES WILLIAM GREEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JAMES WILLIAM GREEN is 2218 TIMBERLAKE TRAIL, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 09/04/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

JAMES WILLIAM GREEN
Controlled Substance Registration - Physician
License number
01035327B
Date granted
09/04/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2218 TIMBERLAKE TRAIL, FORT WAYNE IN 46804
indianalicensing.org
ID 5853563
LAST UPDATED 2024-04-17 23:12:39 UTC

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