Indiana
Professional Licensing Agency
Lucia P Banguis
Controlled Substance Registration - Physician
License number
01025498B
Date granted
02/28/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2651 North Richard Drive, Shelbyville IN 46176
indianalicensing.org
ID 5919294
LAST UPDATED 2024-02-21 23:03:30 UTC
LAST UPDATED 2024-02-21 23:03:30 UTC
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