License holder summary

Idillio A. Elazegui is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Idillio A. Elazegui is 68 LUZERN LANE, TELL CITY IN 47586. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

Idillio A. Elazegui
Controlled Substance Registration - Physician
License number
01032092B
Date granted
10/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
68 LUZERN LANE, TELL CITY IN 47586
indianalicensing.org
ID 5924144
LAST UPDATED 2024-02-27 06:13:55 UTC

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