License holder summary

Augusto Jose Guevara is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Augusto Jose Guevara is Tatum Family Health Center, 1619 W 5th Ave, Gary IN 46404. This licensed professional license is current. The license was granted 07/15/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Augusto Jose Guevara
Controlled Substance Registration - Physician
License number
01057870B
Date granted
07/15/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Tatum Family Health Center, 1619 W 5th Ave, Gary IN 46404
indianalicensing.org
ID 5856230
LAST UPDATED 2024-04-18 20:20:32 UTC

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