License holder summary

Amy R. Quillo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Amy R. Quillo is CMA Clarksville ATTN: Nanette Martin, 2051 Clevidence Blvd., Clarksville IN 47129. This licensed professional license is current. The license was granted 12/09/2010 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Amy R. Quillo
Controlled Substance Registration - Physician
License number
01068863B
Date granted
12/09/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CMA Clarksville ATTN: Nanette Martin, 2051 Clevidence Blvd., Clarksville IN 47129
indianalicensing.org
ID 5834107
LAST UPDATED 2024-04-29 21:05:14 UTC

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