License holder summary

Gideon De Leon Medina is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gideon De Leon Medina is Community Hospital of Anderson, 1515 N Madison Ave, Anderson IN 46011. This licensed professional license is not current. The license was granted 03/17/2004 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Gideon De Leon Medina
Controlled Substance Registration - Physician
License number
01033423B
Date granted
03/17/2004
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Community Hospital of Anderson, 1515 N Madison Ave, Anderson IN 46011
indianalicensing.org
ID 5817223
LAST UPDATED 2024-03-18 23:45:10 UTC

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