CARLOS ERNESTO AMAYA
Controlled Substance Registration - Physician
Indiana 01021607B Suspended
This Indiana license was held by CARLOS ERNESTO AMAYA. The license is no longer active. It was granted on 11/30/1986 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01021607B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 11/30/1986 (over 39 years ago)
- Expiry Date: 06/30/1999 (almost 27 years ago)
LOCATIONS
A Address
404 EAST WASHINGTON STREET, SHELBYVILLE IN 46176