Indiana
Professional Licensing Agency
EDWARD ALLAN ORTIZ
Controlled Substance Registration - Physician
License number
01033112B
Date granted
01/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 39, STATE LINE IN 47982
indianalicensing.org
ID 5923063
LAST UPDATED 2024-04-19 22:38:42 UTC
LAST UPDATED 2024-04-19 22:38:42 UTC
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