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
LAST UPDATED 2024-02-18 18:08:13 UTC
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