Indiana
Professional Licensing Agency
Stuart A Guerrettaz
Controlled Substance Registration - Physician
License number
01040570B
Date granted
08/18/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IMMEDIATE CARE CENTER, 1001 N Madison Ave, Greenwood IN 46142
indianalicensing.org
ID 5862634
LAST UPDATED 2024-04-15 12:23:47 UTC
LAST UPDATED 2024-04-15 12:23:47 UTC
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