License holder summary

Curtis Lee Gongwer is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Curtis Lee Gongwer is 4440 North Portage Ave., South Bend IN 46628. This licensed professional license is current. The license was granted 07/01/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Curtis Lee Gongwer
Controlled Substance Registration - Physician
License number
01045301B
Date granted
07/01/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4440 North Portage Ave., South Bend IN 46628
indianalicensing.org
ID 5920603
LAST UPDATED 2024-04-02 12:48:56 UTC

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