Indiana
Professional Licensing Agency
Fidelia Ocampo Valenzuela
Controlled Substance Registration - Physician
License number
01029036B
Date granted
10/31/1984
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
305 East Main Street-P.O. Box 156, Vevay IN 47043
indianalicensing.org
ID 5930431
LAST UPDATED 2024-02-29 16:48:08 UTC
LAST UPDATED 2024-02-29 16:48:08 UTC
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