Indiana
Professional Licensing Agency
JOSE G IBANEZ
Controlled Substance Registration - Physician
License number
01028827B
Date granted
11/14/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
606 WILSON CREEK RD SUITE 110, LAWRENCEBURG IN 47025
indianalicensing.org
ID 5882487
LAST UPDATED 2024-05-09 19:58:05 UTC
LAST UPDATED 2024-05-09 19:58:05 UTC
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