Indiana
Professional Licensing Agency
Pablo Malabanan Perez
Controlled Substance Registration - Physician
License number
01042609B
Date granted
05/26/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2122 Braemar Drive, Fort Wayne IN 46814
indianalicensing.org
ID 5854146
LAST UPDATED 2024-02-09 11:00:18 UTC
LAST UPDATED 2024-02-09 11:00:18 UTC
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