Indiana
Professional Licensing Agency
Fernando S. Escovar
Controlled Substance Registration - Physician
License number
01044055B
Date granted
07/27/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1753 Fulton, Elkhart IN 46514
indianalicensing.org
ID 5847206
LAST UPDATED 2024-02-19 07:42:22 UTC
LAST UPDATED 2024-02-19 07:42:22 UTC
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