Indiana
Professional Licensing Agency
MARIO LEON
Controlled Substance Registration - Physician
License number
01021300B
Date granted
05/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
JASPER MEDICAL ARTS BLDG, 721 WEST 13TH STREET, JASPER IN 47546
indianalicensing.org
ID 5871840
LAST UPDATED 2024-04-29 10:25:54 UTC
LAST UPDATED 2024-04-29 10:25:54 UTC
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