Indiana
Professional Licensing Agency
Joseph Bautista Clemente
Controlled Substance Registration - Physician
License number
01054059B
Date granted
05/08/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
GYN LTD, 1050 Reid Parkway, Suite 220, Richmond IN 47374
indianalicensing.org
ID 5913513
LAST UPDATED 2026-05-19 12:27:48 UTC
LAST UPDATED 2026-05-19 12:27:48 UTC
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