Indiana
Professional Licensing Agency
Ralph Villaran
Controlled Substance Registration - Physician
License number
01063064B
Date granted
12/11/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9143 Indianapolis Blvd., Highland IN 46322
indianalicensing.org
ID 5866739
LAST UPDATED 2024-03-08 23:38:48 UTC
LAST UPDATED 2024-03-08 23:38:48 UTC
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