License holder summary

DOMENIC E VINCIGUERRA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DOMENIC E VINCIGUERRA is 10810 CROOKED STICK LANE, CARMEL IN 46032. This licensed professional license is not current. The license was granted 08/17/1987 and expired on 06/30/1991.

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

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