Indiana
Professional Licensing Agency
Gerry B. Macutay
Controlled Substance Registration - Physician
License number
01071318B
Date granted
06/21/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Goshen General Hospital, 200 High Park, Goshen IN 46526
indianalicensing.org
ID 5858646
LAST UPDATED 2024-04-02 03:38:46 UTC
LAST UPDATED 2024-04-02 03:38:46 UTC
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