License holder summary

PARVIN DOUGLAS GILLIM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PARVIN DOUGLAS GILLIM is 9002 N MERIDIAN STREET #104, INDIANAPOLIS IN 46260. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

PARVIN DOUGLAS GILLIM
Controlled Substance Registration - Physician
License number
01018672B
Date granted
12/31/1985
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
9002 N MERIDIAN STREET #104, INDIANAPOLIS IN 46260
indianalicensing.org
ID 5870358
LAST UPDATED 2024-04-19 17:24:57 UTC

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