Indiana
Professional Licensing Agency
Nilda Bangug Salazar
Controlled Substance Registration - Physician
License number
01038318B
Date granted
08/01/1990
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7403 Bent Willow Dr., Fort Wayne IN 46815
indianalicensing.org
ID 5854102
LAST UPDATED 2024-03-19 18:50:13 UTC
LAST UPDATED 2024-03-19 18:50:13 UTC
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