Indiana
Professional Licensing Agency
Jose Dominador L. Valena
Controlled Substance Registration - Physician
License number
01033721B
Date granted
10/31/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
VA Hospital Marion, 1700 East 38th Street, Marion IN 46953
indianalicensing.org
ID 5898643
LAST UPDATED 2024-02-21 14:22:37 UTC
LAST UPDATED 2024-02-21 14:22:37 UTC
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