License holder summary

John Robert Ganim is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Robert Ganim is 2209 John R Wooden Drive, Martinsville IN 46151. This licensed professional license is current. The license was granted 04/07/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

John Robert Ganim
Controlled Substance Registration - Physician
License number
01058778B
Date granted
04/07/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2209 John R Wooden Drive, Martinsville IN 46151
indianalicensing.org
ID 5882500
LAST UPDATED 2024-04-02 21:15:02 UTC

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