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 2024-02-16 05:08:47 UTC
LAST UPDATED 2024-02-16 05:08:47 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.