Indiana
Professional Licensing Agency
Javier Jose Urdaneta
Controlled Substance Registration - Physician
License number
01042802B
Date granted
07/01/1994
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAMILY PRACTICE CENTER, 1513 N 6 1/2 ST, TERRE HAUTE IN 47807
indianalicensing.org
ID 5925561
LAST UPDATED 2024-02-19 23:41:00 UTC
LAST UPDATED 2024-02-19 23:41:00 UTC
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