License holder summary

Charles M. Gibellato is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Charles M. Gibellato is Michiana Spine, Sports and Occupational Rehab, 3740 Edison Lakes Parkway, Mishawaka IN 46545. This licensed professional license is not current. The license was granted 05/23/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Charles M. Gibellato
Controlled Substance Registration - Physician
License number
01057645B
Date granted
05/23/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Michiana Spine, Sports and Occupational Rehab, 3740 Edison Lakes Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5894714
LAST UPDATED 2024-04-25 12:39:16 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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