Indiana
Professional Licensing Agency
Corazon G Antonio
Controlled Substance Registration - Physician
License number
01029237B
Date granted
07/31/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3103 Lakeside Drive, Highland IN 46322
indianalicensing.org
ID 5866429
LAST UPDATED 2024-02-29 03:02:52 UTC
LAST UPDATED 2024-02-29 03:02:52 UTC
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