Indiana
Professional Licensing Agency
Emanuel Liwanag Javate
Controlled Substance Registration - Physician
License number
01056274B
Date granted
09/18/2002
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Gentile Healthcare Associates, SC, 1001 Main Street, Dyer IN 46311
indianalicensing.org
ID 5844259
LAST UPDATED 2024-04-05 23:25:43 UTC
LAST UPDATED 2024-04-05 23:25:43 UTC
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