Henedina M. Macabalitaw
Controlled Substance Registration - Physician
Indiana 01041978B Active
This Indiana license is held by Henedina M. Macabalitaw. The license is currently active. It was granted on 10/28/1993 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01041978B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/28/1993 (almost 33 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
2490 Central Avenue, Lake Station IN 46405
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