Indiana
Professional Licensing Agency
Reynaldo Atienza Carandang
Controlled Substance Registration - Physician
License number
01039560B
Date granted
07/25/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
THE MEDICAL CTR OF VINCENNES, 406 NORTH 1ST ST, Vincennes IN 47591
indianalicensing.org
ID 5931395
LAST UPDATED 2024-02-28 19:55:55 UTC
LAST UPDATED 2024-02-28 19:55:55 UTC
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