Indiana
Professional Licensing Agency
Patricia Marie Gentile
Controlled Substance Registration - Physician
License number
01036136B
Date granted
07/21/1987
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
108 East Lincoln St., Columbus OH 43215-1562
indianalicensing.org
ID 5836914
LAST UPDATED 2024-03-27 16:27:33 UTC
LAST UPDATED 2024-03-27 16:27:33 UTC
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