License holder summary

Jorge Medina is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jorge Medina is Saint Anthony - Winfield, 11161 Randolph Street, Crown Point IN 46307-8564. This licensed professional license is current. The license was granted 06/09/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jorge Medina
Controlled Substance Registration - Physician
License number
01061849B
Date granted
06/09/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Anthony - Winfield, 11161 Randolph Street, Crown Point IN 46307-8564
indianalicensing.org
ID 5841286
LAST UPDATED 2024-04-02 17:03:57 UTC

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