License holder summary

Angelita Devega Fontanilla is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Angelita Devega Fontanilla is ANGELITA FONTANILLA, 1030 N. Lincoln St. Suite 2000, Greensburg IN 47240. This licensed professional license is not current. The license was granted 01/05/1990 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Angelita Devega Fontanilla
Controlled Substance Registration - Physician
License number
01037992B
Date granted
01/05/1990
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ANGELITA FONTANILLA, 1030 N. Lincoln St. Suite 2000, Greensburg IN 47240
indianalicensing.org
ID 5860909
LAST UPDATED 2024-02-22 18:51:36 UTC

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