MARCELO R GAVILANEZ

Controlled Substance Registration - Physician

Indiana  01030096B   Active

This Indiana license is held by MARCELO R GAVILANEZ. The license is currently active. It was granted on 07/30/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01030096B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/30/1986 (almost 39 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

P O BOX 427, 201 E SOUTH STREET, MARKLE IN 46770