Indiana
Professional Licensing Agency
Roberto Cantillo
Controlled Substance Registration - Physician
License number
01030134B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6926 Manor Pl, Terre Haute IN 47802
indianalicensing.org
ID 5926481
LAST UPDATED 2024-02-08 05:55:56 UTC
LAST UPDATED 2024-02-08 05:55:56 UTC
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