Charles Randall Chube
Controlled Substance Registration - Physician
Indiana 01045841D Probation
This Indiana license was held by Charles Randall Chube. The license is no longer active. It was granted on 06/02/2014 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01045841D
- Category: CSR-Physician
- Status: Probation
- Date Granted: 06/02/2014 (almost 11 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Tatum Family Health Center, 1619 W. 5th Avenue, Gary IN 46404