Indiana
Professional Licensing Agency
Mary Anne Villegas
Controlled Substance Registration - Physician
License number
01055042B
Date granted
10/30/2001
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2102 E. Evans Avenue Suite 106, Valparaiso IN 46383
indianalicensing.org
ID 5929242
LAST UPDATED 2024-03-26 07:20:32 UTC
LAST UPDATED 2024-03-26 07:20:32 UTC
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