License holder summary

Jorge Antonio Gonzalez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jorge Antonio Gonzalez is ST MARYS MEDICAL CENTER -ANESTHESIA DEPT, 1500 SOUTH LAKE PARK AVENUE, Hobart IN 46342. This licensed professional license is current. The license was granted 04/20/2000 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jorge Antonio Gonzalez
Controlled Substance Registration - Physician
License number
01049228B
Date granted
04/20/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ST MARYS MEDICAL CENTER -ANESTHESIA DEPT, 1500 SOUTH LAKE PARK AVENUE, Hobart IN 46342
indianalicensing.org
ID 5867292
LAST UPDATED 2024-02-08 03:28:42 UTC

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