Indiana
Professional Licensing Agency
Robert B. Avena
Controlled Substance Registration - Physician
License number
01038723C
Date granted
07/26/1994
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
INDIANA MEDICAL SPECIALISTS INC, 122 WEST MAIN STREET, JASONVILLE IN 47438
indianalicensing.org
ID 5871293
LAST UPDATED 2024-04-24 05:55:20 UTC
LAST UPDATED 2024-04-24 05:55:20 UTC
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