Russel Basil Coutinho
Controlled Substance Registration - Physician
Indiana 01044202B Expired
This Indiana license was held by Russel Basil Coutinho. The license is no longer active. It was granted on 08/31/1995 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01044202B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/31/1995 (over 29 years ago)
- Expiry Date: 06/30/1997 (almost 28 years ago)
LOCATIONS
A Address
ST MARGARET MERCY HEALTHCARE CENTERS, 5454 HOHMAN AVENUE, HAMMOND IN 46320