Indiana
Professional Licensing Agency
PEDRO DE LA L JIMENEZ
Controlled Substance Registration - Physician
License number
01021972B
Date granted
03/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 826, 100 WEST COURT AVE # 200, JEFFERSONVILLE IN 47131
indianalicensing.org
ID 5873958
LAST UPDATED 2024-03-12 12:57:12 UTC
LAST UPDATED 2024-03-12 12:57:12 UTC
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