Indiana
Professional Licensing Agency
MARLENE VILLAFUERTE CHUA
Controlled Substance Registration - Physician
License number
01054312B
Date granted
07/17/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2502 Quail Chase Court, Sellersburg IN 47172
indianalicensing.org
ID 5918254
LAST UPDATED 2024-04-10 18:26:05 UTC
LAST UPDATED 2024-04-10 18:26:05 UTC
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