Indiana
Professional Licensing Agency
DOMENIC E VINCIGUERRA
Controlled Substance Registration - Physician
License number
01021590B
Date granted
08/17/1987
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
10810 CROOKED STICK LANE, CARMEL IN 46032
indianalicensing.org
ID 5830291
LAST UPDATED 2024-02-08 16:56:41 UTC
LAST UPDATED 2024-02-08 16:56:41 UTC
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