Indiana
Professional Licensing Agency
LAWRENCE SANTIAGO GAMBOA
Controlled Substance Registration - Physician
License number
01045115B
Date granted
05/23/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
UNITY PHYSICIAN GROUP PC, 1155 WEST THIRD STREET, BLOOMINGTON IN 47404
indianalicensing.org
ID 5825058
LAST UPDATED 2024-02-24 04:13:23 UTC
LAST UPDATED 2024-02-24 04:13:23 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.