License holder summary

PATRICK G GANNON is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for PATRICK G GANNON is MICHIANA HOSPITAL, 2515 E JEFFERSON BLVD, SOUTH BEND IN 46615. This licensed professional license is not current. The license was granted 05/30/1990 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

PATRICK G GANNON
Controlled Substance Registration-Osteopathic Physician
License number
02001154B
Date granted
05/30/1990
Date expires
06/30/1995
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
MICHIANA HOSPITAL, 2515 E JEFFERSON BLVD, SOUTH BEND IN 46615
indianalicensing.org
ID 5813587
LAST UPDATED 2024-02-29 19:56:14 UTC

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