Indiana
Professional Licensing Agency
Juan Carlos Caicedo
Controlled Substance Registration - Physician
License number
01065838B
Date granted
10/09/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3691 Willowcreek Road, Suite 100, Portage IN 46368
indianalicensing.org
ID 5911073
LAST UPDATED 2024-05-01 13:37:43 UTC
LAST UPDATED 2024-05-01 13:37:43 UTC
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