Indiana
Professional Licensing Agency
Maximo Valencia Bleza
Controlled Substance Registration-Osteopathic Physician
License number
02002230B
Date granted
09/18/2000
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Radiologic Associates of NW IN PC, 85 East US Highway 6, Valparaiso IN 46383
indianalicensing.org
ID 5814793
LAST UPDATED 2024-05-09 12:15:07 UTC
LAST UPDATED 2024-05-09 12:15:07 UTC
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