Indiana
Professional Licensing Agency
GREGORIO FORTEZA VEZA
Physician
License number
01040960A
Date granted
12/10/1992
Date expires
06/30/1995
Class
Physician
Status
Expired Non-Renewable
Address
ELIZABETHTOWN KY 42701
indianalicensing.org
ID 6046539
LAST UPDATED 2024-03-15 03:54:48 UTC
LAST UPDATED 2024-03-15 03:54:48 UTC
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