Indiana
Professional Licensing Agency
Basilio Padilla
Controlled Substance Registration - Physician
License number
01057636B
Date granted
09/04/2003
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Heart City Health Center, 236 Simpson Avenue, Elkhart IN 46516
indianalicensing.org
ID 5846684
LAST UPDATED 2024-03-14 22:08:42 UTC
LAST UPDATED 2024-03-14 22:08:42 UTC
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