License holder summary

JOSE ANGEL MAYORAL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOSE ANGEL MAYORAL is TRI COUNTY COMMUNITY MHC, 1122 NORTH LEBANON STREET, LEBANON IN 46052. This licensed professional license is not current. The license was granted 11/14/1986 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

JOSE ANGEL MAYORAL
Controlled Substance Registration - Physician
License number
01035544C
Date granted
11/14/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
TRI COUNTY COMMUNITY MHC, 1122 NORTH LEBANON STREET, LEBANON IN 46052
indianalicensing.org
ID 5883833
LAST UPDATED 2024-05-18 04:33:00 UTC

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