License holder summary

Rodney Lewis Guimont, Jr. is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rodney Lewis Guimont, Jr. is 3636 Willowcreek Road, Portage IN 46368. This licensed professional license is current. The license was granted 05/06/2010 and expired on 10/31/2015.

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

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