License holder summary

BELEN RODRIGUEZ DIZON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BELEN RODRIGUEZ DIZON is 9138 MARIGOLD LANE, MUNSTER IN 46321. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

BELEN RODRIGUEZ DIZON
Controlled Substance Registration - Physician
License number
01022145B
Date granted
10/31/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
9138 MARIGOLD LANE, MUNSTER IN 46321
indianalicensing.org
ID 5899888
LAST UPDATED 2024-03-17 22:40:49 UTC

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