License holder summary

Roger Benjamin Bartolome Gandionco is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Roger Benjamin Bartolome Gandionco is Athens Medical Group- GreenAcres, 1500 Darlington Ave., Crawfordsville IN 47933. This licensed professional license is current. The license was granted 06/24/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Roger Benjamin Bartolome Gandionco
Controlled Substance Registration - Physician
License number
01069499B
Date granted
06/24/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Athens Medical Group- GreenAcres, 1500 Darlington Ave., Crawfordsville IN 47933
indianalicensing.org
ID 5840563
LAST UPDATED 2024-02-06 22:55:44 UTC

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