License holder summary

JOHN HENRY IVY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOHN HENRY IVY is 56077 RIVERDALE DRIVE, ELKHART IN 46514. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

JOHN HENRY IVY
Controlled Substance Registration - Physician
License number
01016916B
Date granted
06/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
56077 RIVERDALE DRIVE, ELKHART IN 46514
indianalicensing.org
ID 5847562
LAST UPDATED 2024-03-23 13:20:03 UTC

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