Indiana
Professional Licensing Agency
Dominick Acquaro
Controlled Substance Registration - Physician
License number
01037315B
Date granted
06/06/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7806 West Jefferson, Suite C, Fort Wayne IN 46804
indianalicensing.org
ID 5853238
LAST UPDATED 2024-05-27 04:25:14 UTC
LAST UPDATED 2024-05-27 04:25:14 UTC
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