License holder summary

Katya Maillard-Gonzalez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Katya Maillard-Gonzalez is St. Vincent Physicians Network, 2101 Jackson Street Ste 111, Anderson IN 46016. This licensed professional license is current. The license was granted 06/20/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Katya Maillard-Gonzalez
Controlled Substance Registration - Physician
License number
01068842B
Date granted
06/20/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Vincent Physicians Network, 2101 Jackson Street Ste 111, Anderson IN 46016
indianalicensing.org
ID 5817562
LAST UPDATED 2024-02-14 11:30:51 UTC

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