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
LAST UPDATED 2024-04-05 05:34:04 UTC
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