Indiana
Professional Licensing Agency
Ruben F. Vizcarra
Controlled Substance Registration - Physician
License number
01022488B
Date granted
09/30/1985
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2406 Hastye Hyll, Logansport IN 46947
indianalicensing.org
ID 5885699
LAST UPDATED 2024-02-06 06:07:10 UTC
LAST UPDATED 2024-02-06 06:07:10 UTC
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