Indiana
Professional Licensing Agency
Nyria Carolina Villarreal
Controlled Substance Registration - Physician
License number
01059578B
Date granted
02/16/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1601 Medical Arts Boulevard, Suite# 303, Anderson IN 46011
indianalicensing.org
ID 5817809
LAST UPDATED 2024-04-22 20:25:16 UTC
LAST UPDATED 2024-04-22 20:25:16 UTC
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