ALEXANDER O CUSTODIO
Controlled Substance Registration - Physician
Indiana 01022707B Expired
This Indiana license was held by ALEXANDER O CUSTODIO. The license is no longer active. It was granted on 09/30/1982 and expired on 09/30/1983
LICENSE DETAILS
- License Number: 01022707B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/30/1982 (over 42 years ago)
- Expiry Date: 09/30/1983 (over 41 years ago)
LOCATIONS
A Address
REVOKED, P O BOX 321, EAST CHICAGO IN 46312