License holder summary

EDWARD ALLAN ORTIZ is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EDWARD ALLAN ORTIZ is P O BOX 39, STATE LINE IN 47982. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

EDWARD ALLAN ORTIZ
Controlled Substance Registration - Physician
License number
01033112B
Date granted
01/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 39, STATE LINE IN 47982
indianalicensing.org
ID 5923063
LAST UPDATED 2024-03-05 07:03:33 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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