License holder summary

FLORANTE GUEVARA BAUTISTA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FLORANTE GUEVARA BAUTISTA is EDGEWOOD CLINIC INC, 2900 W 16TH STREET, BEDFORD IN 47421. This licensed professional license is not current. The license was granted 08/26/1993 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

FLORANTE GUEVARA BAUTISTA
Controlled Substance Registration - Physician
License number
01041742B
Date granted
08/26/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
EDGEWOOD CLINIC INC, 2900 W 16TH STREET, BEDFORD IN 47421
indianalicensing.org
ID 5822094
LAST UPDATED 2024-04-05 03:04:18 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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