Indiana
Professional Licensing Agency
Rodney Lewis Guimont, Jr.
Controlled Substance Registration - Physician
License number
01068181B
Date granted
05/06/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3636 Willowcreek Road, Portage IN 46368
indianalicensing.org
ID 5911262
LAST UPDATED 2024-03-12 20:34:19 UTC
LAST UPDATED 2024-03-12 20:34:19 UTC
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