License holder summary

John Matthew Gorup is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Matthew Gorup is Indiana Spine Center, 1345 Unity Place, Suite 310, Lafayette IN 47905. This licensed professional license is current. The license was granted 06/26/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

John Matthew Gorup
Controlled Substance Registration - Physician
License number
01046921B
Date granted
06/26/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana Spine Center, 1345 Unity Place, Suite 310, Lafayette IN 47905
indianalicensing.org
ID 5879916
LAST UPDATED 2024-04-21 08:47:42 UTC

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