Indiana
Professional Licensing Agency
PRIMITIVA RODRIQUEZ ONG
Controlled Substance Registration - Physician
License number
01026548B
Date granted
02/28/1986
Date expires
02/28/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
OUT OF STATE, VALPARAISO IN 46383
indianalicensing.org
ID 5929563
LAST UPDATED 2024-03-24 14:37:14 UTC
LAST UPDATED 2024-03-24 14:37:14 UTC
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