ANGELINA V MEDINA
Controlled Substance Registration - Physician
Indiana 01022262B Expired
This Indiana license was held by ANGELINA V MEDINA. The license is no longer active. It was granted on 02/28/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01022262B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/28/1986 (about 38 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Address
9545 WHITE OAK AVENUE, Munster IN 46321