Indiana
Professional Licensing Agency
Anthony Nicholas Avallone
Controlled Substance Registration - Physician
License number
01064062B
Date granted
08/03/2007
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Center for Cancer Care, 200 High Park Avenue, Goshen IN 46526
indianalicensing.org
ID 5858294
LAST UPDATED 2024-02-14 10:24:12 UTC
LAST UPDATED 2024-02-14 10:24:12 UTC
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