Indiana
Professional Licensing Agency
Evangelina L. Marquez
Controlled Substance Registration - Physician
License number
01028489B
Date granted
07/06/1989
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
502 Walls, Ste 103, Valparaiso IN 46383
indianalicensing.org
ID 5928530
LAST UPDATED 2024-02-23 09:34:28 UTC
LAST UPDATED 2024-02-23 09:34:28 UTC
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