Indiana
Professional Licensing Agency
Priscilla Ann Villaroman
Controlled Substance Registration - Physician
License number
01046413B
Date granted
04/21/1997
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Community Medical Assoc Attn Nan Martin, 2051 Clevidence Blvd, Clarksville IN 47129
indianalicensing.org
ID 5834547
LAST UPDATED 2026-06-02 10:52:08 UTC
LAST UPDATED 2026-06-02 10:52:08 UTC
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