Indiana
Professional Licensing Agency
Jose C. Munoz
Controlled Substance Registration - Physician
License number
01021310B
Date granted
02/28/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
3888 New Vision Drive, Fort Wayne IN 46845
indianalicensing.org
ID 5853755
LAST UPDATED 2024-03-23 00:50:09 UTC
LAST UPDATED 2024-03-23 00:50:09 UTC
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