License holder summary

Abraham Emperador Fontanilla is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Abraham Emperador Fontanilla is ABRAHAM E FONTANILLA, 1030 N. Lincoln St Suite 2000, GREENSBURG IN 47240. This licensed professional license is current. The license was granted 01/05/1990 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Abraham Emperador Fontanilla
Controlled Substance Registration - Physician
License number
01037991B
Date granted
01/05/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ABRAHAM E FONTANILLA, 1030 N. Lincoln St Suite 2000, GREENSBURG IN 47240
indianalicensing.org
ID 5860886
LAST UPDATED 2024-05-04 09:41:16 UTC

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