License holder summary

REBECA AYALA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for REBECA AYALA is GOSHEN HEALTH, 2012 SOUTH MAIN ST SUITE B, GOSHEN IN 46526. This licensed professional license is not current. The license was granted 09/26/1997 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

REBECA AYALA
Controlled Substance Registration - Physician
License number
01046638B
Date granted
09/26/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GOSHEN HEALTH, 2012 SOUTH MAIN ST SUITE B, GOSHEN IN 46526
indianalicensing.org
ID 5859072
LAST UPDATED 2024-02-21 07:28:51 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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