License holder summary

ANTONIO DE VILLA SALUD is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ANTONIO DE VILLA SALUD is 105 NORTH WILDROSE, Valparaiso IN 46383. This licensed professional license is not current. The license was granted 11/06/2001 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

ANTONIO DE VILLA SALUD
Controlled Substance Registration - Physician
License number
01055217B
Date granted
11/06/2001
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
105 NORTH WILDROSE, Valparaiso IN 46383
indianalicensing.org
ID 5928073
LAST UPDATED 2024-01-31 23:23:04 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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