Eliseo T Banguis

Controlled Substance Registration - Physician

Indiana  01025497B   Expired

This Indiana license was held by Eliseo T Banguis. The license is no longer active. It was granted on 02/28/1986 and expired on 06/30/2009

LICENSE DETAILS

  • License Number: 01025497B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 02/28/1986 (over 40 years ago)
  • Expiry Date: 06/30/2009 (about 17 years ago)

LOCATIONS

A Address

Banguis Medical Offices, 120 West Jackson Street, Shelbyville IN 46176