Indiana
Professional Licensing Agency
Pio G Valenzuela, II
Controlled Substance Registration - Physician
License number
01029566B
Date granted
08/04/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
201 South Emerson Avenue, Suite 110, Greenwood IN 46143
indianalicensing.org
ID 5862332
LAST UPDATED 2024-02-17 02:35:09 UTC
LAST UPDATED 2024-02-17 02:35:09 UTC
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