License holder summary

RENATO C GAHOL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RENATO C GAHOL is PARK CENTER, 909 E STATE BOULEVARD, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 07/29/1991 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

RENATO C GAHOL
Controlled Substance Registration - Physician
License number
01039242B
Date granted
07/29/1991
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PARK CENTER, 909 E STATE BOULEVARD, FORT WAYNE IN 46805
indianalicensing.org
ID 5854237
LAST UPDATED 2024-04-15 09:13:10 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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