Indiana
Professional Licensing Agency
Diego G. Valenzuela
Controlled Substance Registration - Physician
License number
01030192B
Date granted
09/30/1985
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
OUT OF STATE, GARY IN 46403
indianalicensing.org
ID 5856479
LAST UPDATED 2024-02-04 00:20:51 UTC
LAST UPDATED 2024-02-04 00:20:51 UTC
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