Indiana
Professional Licensing Agency
Paul V. Chivington, Jr.
Controlled Substance Registration - Physician
License number
01014759B
Date granted
11/30/1984
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5064 MORTON PLACE, CARMEL IN 46032
indianalicensing.org
ID 5831624
LAST UPDATED 2024-03-03 05:56:19 UTC
LAST UPDATED 2024-03-03 05:56:19 UTC
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