Indiana
Professional Licensing Agency
Warlito A. Bautista
Controlled Substance Registration - Physician
License number
01026833B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1311 Spring Street, Jeffersonville IN 47130-3705
indianalicensing.org
ID 5874564
LAST UPDATED 2024-03-20 18:25:54 UTC
LAST UPDATED 2024-03-20 18:25:54 UTC
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