License holder summary

Wayne G. Villanueva is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Wayne G. Villanueva is Clark Memorial Hospital Medical Staff Office, 1220 Missouri Ave., Jeffersonville IN 47130. This licensed professional license is not current. The license was granted 01/09/1996 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Wayne G. Villanueva
Controlled Substance Registration - Physician
License number
01044605B
Date granted
01/09/1996
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Clark Memorial Hospital Medical Staff Office, 1220 Missouri Ave., Jeffersonville IN 47130
indianalicensing.org
ID 5874568
LAST UPDATED 2024-02-03 06:19:43 UTC

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