Indiana
Professional Licensing Agency
Jose J. Rivera
Controlled Substance Registration - Physician
License number
01051299B
Date granted
08/24/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GOOD SAMARITAN HOSPITAL, 520 S 7TH ST, VINCENNES IN 47591
indianalicensing.org
ID 5930958
LAST UPDATED 2024-04-20 16:36:28 UTC
LAST UPDATED 2024-04-20 16:36:28 UTC
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