Indiana
Professional Licensing Agency
Leticia Vazquez
Controlled Substance Registration - Physician
License number
01064672B
Date granted
12/21/2007
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Margaret Mercy - Attn: Medical Staff Office, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5864549
LAST UPDATED 2024-01-21 23:12:05 UTC
LAST UPDATED 2024-01-21 23:12:05 UTC
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