Indiana
Professional Licensing Agency
Vincent LaValles Gills Ray
Controlled Substance Registration - Physician
License number
01069998C
Date granted
07/22/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Deen-Gross Eye Centers, 1400 S. Lake Park Ave Suite# 103, Hobart IN 46342
indianalicensing.org
ID 5867845
LAST UPDATED 2024-04-04 08:27:51 UTC
LAST UPDATED 2024-04-04 08:27:51 UTC
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