License holder summary

VIVENCIO F RAYMUNDO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for VIVENCIO F RAYMUNDO is R R #3 BOX 341, ELWOOD IN 46036. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

VIVENCIO F RAYMUNDO
Controlled Substance Registration - Physician
License number
01016590B
Date granted
08/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
R R #3 BOX 341, ELWOOD IN 46036
indianalicensing.org
ID 5849172
LAST UPDATED 2024-02-18 18:08:13 UTC

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