Indiana
Professional Licensing Agency
Jose Paul Villavicencio
Controlled Substance Registration - Physician
License number
01046011B
Date granted
08/08/2001
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
305 mEDIC wAY, Greencastle IN 46135
indianalicensing.org
ID 5859916
LAST UPDATED 2024-04-15 18:53:18 UTC
LAST UPDATED 2024-04-15 18:53:18 UTC
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