License holder summary

Patrick Anthony De Valeria is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Patrick Anthony De Valeria is 2525 UNIVERSITY AVENUE STE 502, MUNCIE IN 47303. This licensed professional license is not current. The license was granted 07/25/1996 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Patrick Anthony De Valeria
Controlled Substance Registration - Physician
License number
01045451B
Date granted
07/25/1996
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2525 UNIVERSITY AVENUE STE 502, MUNCIE IN 47303
indianalicensing.org
ID 5899040
LAST UPDATED 2024-04-16 22:56:00 UTC

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