Indiana
Professional Licensing Agency
VIVENCIO A HERRERA JR.
Controlled Substance Registration - Physician
License number
01018540B
Date granted
03/31/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
V A MEDICAL CENTER, 1700 EAST 38TH STREET, MARION IN 46952
indianalicensing.org
ID 5888948
LAST UPDATED 2024-03-11 11:54:32 UTC
LAST UPDATED 2024-03-11 11:54:32 UTC
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