Charles C MacDonald, II
Controlled Substance Registration - Physician
Indiana 01037362B Active
This Indiana license is held by Charles C MacDonald, II. The license is currently active. It was granted on 03/31/1989 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01037362B
- Category: CSR-Physician
- Status: Active
- Date Granted: 03/31/1989 (over 37 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Porter/Valparaiso Hospital Campus, 814 LaPorte Avenue, Valparaiso IN 46383
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