License holder summary

ROBERTO B MADRILEJO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ROBERTO B MADRILEJO is 215 BROADWAY, GARY IN 46402. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

ROBERTO B MADRILEJO
Controlled Substance Registration - Physician
License number
01022252B
Date granted
02/28/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
215 BROADWAY, GARY IN 46402
indianalicensing.org
ID 5857491
LAST UPDATED 2024-03-15 16:11:00 UTC

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