Juan Carlos Caicedo
Controlled Substance Registration - Physician
Indiana 01065838B Active
This Indiana license is held by Juan Carlos Caicedo. The license is currently active. It was granted on 10/09/2008 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01065838B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/09/2008 (over 17 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
3691 Willowcreek Road, Suite 100, Portage IN 46368
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