Indiana
Professional Licensing Agency
Edward Oliver Villarreal
Controlled Substance Registration - Dentist
License number
12009274B
Date granted
06/28/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1184 E CANVASBACK DR SUITE 120, TERRE HAUTE IN 47802
indianalicensing.org
ID 5124831
LAST UPDATED 2024-02-29 00:21:55 UTC
LAST UPDATED 2024-02-29 00:21:55 UTC
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