License holder summary

CARLOS ERNESTO AMAYA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CARLOS ERNESTO AMAYA is 1818 N RILEY HWY, SHELBYVILLE IN 46176. This licensed professional license is not current. The license was granted 05/08/1992 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

CARLOS ERNESTO AMAYA
Controlled Substance Registration - Physician
License number
01021607C
Date granted
05/08/1992
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
1818 N RILEY HWY, SHELBYVILLE IN 46176
indianalicensing.org
ID 5919109
LAST UPDATED 2024-04-22 08:46:48 UTC

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