CARLOS RODOLFO ALFARAZ
Controlled Substance Registration - Physician
Indiana 01039703B Expired
This Indiana license was held by CARLOS RODOLFO ALFARAZ. The license is no longer active. It was granted on 09/26/1991 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01039703B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/26/1991 (over 34 years ago)
- Expiry Date: 06/30/1997 (almost 29 years ago)
LOCATIONS
A Address
640 Romence Road, Suite 216, Portage MI 49024