Indiana
Professional Licensing Agency
Constancio B. Acosta
Controlled Substance Registration - Physician
License number
01025495B
Date granted
11/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
constancio Acosta, 8500 BROADWAY SUITE E, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890086
LAST UPDATED 2024-03-05 20:43:03 UTC
LAST UPDATED 2024-03-05 20:43:03 UTC
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