License holder summary

John Michael Diveris is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Michael Diveris is 333 W. 89th Avenue, Suite W5, Merrillville IN 46410. This licensed professional license is current. The license was granted 03/27/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

John Michael Diveris
Controlled Substance Registration - Physician
License number
01040065B
Date granted
03/27/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
333 W. 89th Avenue, Suite W5, Merrillville IN 46410
indianalicensing.org
ID 5890642
LAST UPDATED 2024-04-26 21:12:59 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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