License holder summary

Camillo Mark D. Mendoza is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Camillo Mark D. Mendoza is Carrie Kesler, 1011 EAST NATIONAL AVENUE, BRAZIL IN 47834. This licensed professional license is current. The license was granted 07/20/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Camillo Mark D. Mendoza
Controlled Substance Registration - Physician
License number
01049692B
Date granted
07/20/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Carrie Kesler, 1011 EAST NATIONAL AVENUE, BRAZIL IN 47834
indianalicensing.org
ID 5827576
LAST UPDATED 2024-03-07 18:11:05 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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