License holder summary

ELPIDIO L GAMBOA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ELPIDIO L GAMBOA is 4214 WEST 76TH COURT, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

ELPIDIO L GAMBOA
Controlled Substance Registration - Physician
License number
01027284B
Date granted
08/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4214 WEST 76TH COURT, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890211
LAST UPDATED 2024-03-08 20:55:33 UTC

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