Ruben Fernandez, JR

Controlled Substance Registration - Physician

Indiana  01056848B   Expired

This Indiana license was held by Ruben Fernandez, JR. The license is no longer active. It was granted on 10/10/2002 and expired on 06/30/2003

LICENSE DETAILS

  • License Number: 01056848B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/10/2002 (over 22 years ago)
  • Expiry Date: 06/30/2003 (almost 22 years ago)

LOCATIONS

A Address

St. Margaret Mercy Healthcare Center, 5454 Hohman Avenue, Hammond IN 46320