License holder summary

TEODORO GAVILAN GUEVARA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for TEODORO GAVILAN GUEVARA is 607 WINDSOR DRIVE, MARION IN 46952. This licensed professional license is not current. The license was granted 12/31/1981 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

TEODORO GAVILAN GUEVARA
Controlled Substance Registration - Physician
License number
01022179B
Date granted
12/31/1981
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
607 WINDSOR DRIVE, MARION IN 46952
indianalicensing.org
ID 5888904
LAST UPDATED 2024-04-05 05:34:04 UTC

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