ROBERT B AVENA - Medical Doctor License in Indiana | # 33*****77

ROBERT B AVENA

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

N

First Name

ROBERT B

Last Name

AVENA

Business Name

ROBERT B AVENA

Original Issue Date

01/31/1989

Effective Date

01/31/1989

Expiration Date

07/31/1993

State

IN

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/26/2006