License holder summary

Antonio Braganza Donesa is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Antonio Braganza Donesa is 8215 TRANQUILLA PLACE, FORT WAYNE IN 46815. This licensed professional license is current. The license was granted 10/31/1984 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Antonio Braganza Donesa
Controlled Substance Registration - Physician
License number
01020905B
Date granted
10/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8215 TRANQUILLA PLACE, FORT WAYNE IN 46815
indianalicensing.org
ID 5852955
LAST UPDATED 2024-04-19 15:13:59 UTC

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