New Mexico
Regulation & Licensing Department
Mario J. Andreatta, O.D.
Controlled Substance
License number
CS00019054
Date granted
01/02/1996
Date expires
06/30/2014
Class
Controlled Substance
Status
Active
licensingnm.com
ID 5819488
LAST UPDATED 2026-05-11 17:53:13 UTC
LAST UPDATED 2026-05-11 17:53:13 UTC
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