Indiana
Professional Licensing Agency
Clive Lionel Alonzo
Controlled Substance Registration - Physician
License number
01060964B
Date granted
07/08/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
600 Grant Street, Gary IN 46402
indianalicensing.org
ID 5856368
LAST UPDATED 2024-03-23 04:12:01 UTC
LAST UPDATED 2024-03-23 04:12:01 UTC
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