Indiana
Professional Licensing Agency
Primo A Andres, Jr
Controlled Substance Registration - Physician
License number
01029981D
Date granted
07/08/1994
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Carrie Kesler, 1011 E National Ave, Brazil IN 47834
indianalicensing.org
ID 5827809
LAST UPDATED 2024-04-09 08:45:29 UTC
LAST UPDATED 2024-04-09 08:45:29 UTC
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