MARCELO R GAVILANEZ
Controlled Substance Registration - Physician
Indiana 01030096D Expired
This Indiana license was held by MARCELO R GAVILANEZ. The license is no longer active. It was granted on 09/21/1992 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01030096D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/21/1992 (over 32 years ago)
- Expiry Date: 06/30/1997 (almost 28 years ago)
LOCATIONS
A Address
MARKLE MEDICAL CENTER, 226 N WAYNE ST, WARREN IN 46792