Roger Benjamin Bartolome Gandionco
Controlled Substance Registration - Physician
Indiana 01069499B Active
This Indiana license is held by Roger Benjamin Bartolome Gandionco. The license is currently active. It was granted on 06/24/2011 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01069499B
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/24/2011 (about 13 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
Athens Medical Group- GreenAcres, 1500 Darlington Ave., Crawfordsville IN 47933
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