Indiana
Professional Licensing Agency
Majurie Padilla Tablante
Controlled Substance Registration - Physician
License number
01043933B
Date granted
06/02/1998
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8500 BROADWAY SUITE E, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890964
LAST UPDATED 2024-04-09 13:23:41 UTC
LAST UPDATED 2024-04-09 13:23:41 UTC
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