License holder summary

Juan Carlos Caicedo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Juan Carlos Caicedo is 3691 Willowcreek Road, Suite 100, Portage IN 46368. This licensed professional license is current. The license was granted 10/09/2008 and expired on 10/31/2015.

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

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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