Indiana
Professional Licensing Agency
Henry Gonzales
Controlled Substance Registration - Podiatrist
License number
07001014B
Date granted
02/24/2006
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
Tatum Family Health Center, IN Care of Home Physicians, 1619 West 5th Avenue, Gary IN 46404
indianalicensing.org
ID 8430518
LAST UPDATED 2024-02-15 04:42:32 UTC
LAST UPDATED 2024-02-15 04:42:32 UTC
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