Indiana
Professional Licensing Agency
Eduardo Pineda
Controlled Substance Registration - Physician
License number
01045640B
Date granted
09/20/1996
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Samaritan Center, 515 Bayou Street, Vincennes IN 47591
indianalicensing.org
ID 5930708
LAST UPDATED 2024-03-31 22:06:43 UTC
LAST UPDATED 2024-03-31 22:06:43 UTC
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