MARCELO R GAVILANEZ
Controlled Substance Registration - Physician
Indiana 01030096C Active
This Indiana license is held by MARCELO R GAVILANEZ. The license is currently active. It was granted on 09/21/1992 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01030096C
- Category: CSR-Physician
- Status: Active
- Date Granted: 09/21/1992 (over 32 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
P O BOX 296, 100 WEST HORTON STREET, BLUFFTON IN 46714
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