Indiana
Professional Licensing Agency
Jerick Carbonell Pacheco
Controlled Substance Registration - Physician
License number
01063831B
Date granted
07/17/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
528 N 1st, Vincennes IN 47591
indianalicensing.org
ID 5930908
LAST UPDATED 2024-04-06 04:41:03 UTC
LAST UPDATED 2024-04-06 04:41:03 UTC
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