Indiana
Professional Licensing Agency
Aixsa Perez
Controlled Substance Registration - Physician
License number
01049434B
Date granted
10/22/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1712 Lincolnwway W. Suite A, Osceola IN 46561
indianalicensing.org
ID 5908346
LAST UPDATED 2024-03-08 17:46:18 UTC
LAST UPDATED 2024-03-08 17:46:18 UTC
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