Indiana
Professional Licensing Agency
ANTOLIN MONTECILLO
Controlled Substance Registration - Physician
License number
01021675B
Date granted
02/28/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
257 WALNUT STREET, CLINTON IN 47842
indianalicensing.org
ID 5835012
LAST UPDATED 2024-03-05 05:59:23 UTC
LAST UPDATED 2024-03-05 05:59:23 UTC
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