Indiana
Professional Licensing Agency
Augusto R. Chavez
Controlled Substance Registration - Physician
License number
01031625B
Date granted
09/15/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
840 Richard Road, Suite 4, Dyer IN 46311
indianalicensing.org
ID 5844119
LAST UPDATED 2024-01-26 06:32:32 UTC
LAST UPDATED 2024-01-26 06:32:32 UTC
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