Indiana
Professional Licensing Agency
Araceli T. Acosta
Controlled Substance Registration - Physician
License number
01025742B
Date granted
04/03/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
600 GRANT ST, GARY IN 46402
indianalicensing.org
ID 5856172
LAST UPDATED 2024-02-29 18:04:42 UTC
LAST UPDATED 2024-02-29 18:04:42 UTC
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