Indiana
Professional Licensing Agency
Laarni May Guimzon Moreno
Controlled Substance Registration - Physician
License number
01066219B
Date granted
01/27/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Elkhart Hospital, 600 E. Blvd., Elkhart IN 46514
indianalicensing.org
ID 5847733
LAST UPDATED 2024-02-17 18:02:42 UTC
LAST UPDATED 2024-02-17 18:02:42 UTC
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