License holder summary

John Rafael Avila is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for John Rafael Avila is 1213 East Coolspring Avenue, Michigan City IN 46360. This licensed professional license is current. The license was granted 10/26/1992 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

John Rafael Avila
Controlled Substance Registration - Dentist
License number
12009519B
Date granted
10/26/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1213 East Coolspring Avenue, Michigan City IN 46360
indianalicensing.org
ID 5111807
LAST UPDATED 2024-04-08 19:11:20 UTC

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