Indiana
Professional Licensing Agency
Jose L. Agusti
Controlled Substance Registration - Physician
License number
01061624B
Date granted
01/26/2006
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
60 Valparaiso Street, Valparaiso IN 46383
indianalicensing.org
ID 5928889
LAST UPDATED 2024-04-06 15:54:43 UTC
LAST UPDATED 2024-04-06 15:54:43 UTC
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