GUALBERTO R DIZON JR
Controlled Substance Registration - Physician
Indiana 01022146B Expired
This Indiana license was held by GUALBERTO R DIZON JR. The license is no longer active. It was granted on 10/31/1985 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01022146B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/31/1985 (over 39 years ago)
- Expiry Date: 06/30/1997 (about 28 years ago)
LOCATIONS
A Address
800 MACARTHUR BLVD, MUNSTER IN 46321