Indiana
Professional Licensing Agency
RENNE LERMA GAMBOA
Controlled Substance Registration - Physician
License number
01048738B
Date granted
04/20/2001
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CAMPBELLSBURG PRIMARY CARE OFFICE, 112 WEST OAK STREET, Campbellsburg IN 47108
indianalicensing.org
ID 5829538
LAST UPDATED 2024-05-06 16:13:16 UTC
LAST UPDATED 2024-05-06 16:13:16 UTC
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