Indiana
Professional Licensing Agency
Renato Vincenzo La Rocca
Controlled Substance Registration - Physician
License number
01038333B
Date granted
06/04/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
301 Gordon Gutmann Blvd., Suite 301, Jeffersonville IN 47130
indianalicensing.org
ID 5874027
LAST UPDATED 2024-04-09 15:44:11 UTC
LAST UPDATED 2024-04-09 15:44:11 UTC
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