Indiana
Professional Licensing Agency
ANTHONY LEO CHIAVACCI
Controlled Substance Registration - Physician
License number
01035500B
Date granted
12/03/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
HEALTH AMERICA, 1615 BLACKISTON VIEW DRIVE, CLARKSVILLE IN 47130
indianalicensing.org
ID 5834123
LAST UPDATED 2024-04-12 22:56:59 UTC
LAST UPDATED 2024-04-12 22:56:59 UTC
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