Indiana
Professional Licensing Agency
Gloria Buentello
Controlled Substance Registration - Physician
License number
01042635B
Date granted
06/30/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Margaret Mercy Health Center - Attn: Med. Staff Office, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5864045
LAST UPDATED 2024-03-16 10:45:25 UTC
LAST UPDATED 2024-03-16 10:45:25 UTC
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