JOHN HENRY IVY MD - Medical Doctor License in Indiana | # 036027128

JOHN HENRY IVY MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027128

License Status

INACTIVE

Business

N

First Name

JOHN HENRY

Last Name

IVY

Suffix

MD

Business Name

JOHN HENRY IVY MD

Original Issue Date

09/03/1946

Effective Date

09/03/1946

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006