Indiana
Professional Licensing Agency
Eugenio L. Mendoza
Controlled Substance Registration - Physician
License number
01060378B
Date granted
04/14/2005
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Starke Memorial Hospital, 102 E. Culver Road, Knox IN 46534
indianalicensing.org
ID 5875303
LAST UPDATED 2024-04-16 05:35:04 UTC
LAST UPDATED 2024-04-16 05:35:04 UTC
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