ANTONIO DE VILLA SALUD
Controlled Substance Registration - Physician
Indiana 01055217B Expired
This Indiana license was held by ANTONIO DE VILLA SALUD. The license is no longer active. It was granted on 11/06/2001 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01055217B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/06/2001 (over 24 years ago)
- Expiry Date: 06/30/2003 (about 23 years ago)
LOCATIONS
A Address
105 NORTH WILDROSE, Valparaiso IN 46383