Joseph Ernest Fernando

Controlled Substance Registration - Physician

Indiana  01035623C   Expired

This Indiana license was held by Joseph Ernest Fernando. The license is no longer active. It was granted on 12/31/1986 and expired on 06/30/1991

LICENSE DETAILS

  • License Number: 01035623C
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 12/31/1986 (over 38 years ago)
  • Expiry Date: 06/30/1991 (almost 34 years ago)

LOCATIONS

A Address

5461 MARYANN LANE, MERRILLVILLE IN 46410