License holder summary

MARCELO R GAVILANEZ is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARCELO R GAVILANEZ is P O BOX 296, 100 WEST HORTON STREET, BLUFFTON IN 46714. This licensed professional license is current. The license was granted 09/21/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MARCELO R GAVILANEZ
Controlled Substance Registration - Physician
License number
01030096C
Date granted
09/21/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
P O BOX 296, 100 WEST HORTON STREET, BLUFFTON IN 46714
indianalicensing.org
ID 5826704
LAST UPDATED 2024-03-31 14:02:59 UTC

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