Indiana
Professional Licensing Agency
Laurie Joy Blanco Valera
Controlled Substance Registration - Physician
License number
01065814B
Date granted
03/18/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
114 N. Division Street, Cayuga IN 47928
indianalicensing.org
ID 5832589
LAST UPDATED 2024-04-10 01:45:52 UTC
LAST UPDATED 2024-04-10 01:45:52 UTC
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