License holder summary

JOSE S GERONIMO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOSE S GERONIMO is 1720 SOUTH GREEN RIVER ROAD, EVANSVILLE IN 47715. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

JOSE S GERONIMO
Controlled Substance Registration - Physician
License number
01025617B
Date granted
12/31/1985
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Surrendered
Address
1720 SOUTH GREEN RIVER ROAD, EVANSVILLE IN 47715
indianalicensing.org
ID 5850340
LAST UPDATED 2024-03-11 13:10:19 UTC

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