Indiana
Professional Licensing Agency
L. Silvia Munoz-Price
Controlled Substance Registration - Physician
License number
01058944B
Date granted
04/14/2004
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
901 Lincolnway Ste 308, La Porte IN 46350
indianalicensing.org
ID 5878239
LAST UPDATED 2026-04-05 23:51:02 UTC
LAST UPDATED 2026-04-05 23:51:02 UTC
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