License holder summary

Rafael Rabasa is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rafael Rabasa is 54747 WINDING BROOK DRIVE, Mishawaka IN 46545. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Rafael Rabasa
Controlled Substance Registration - Physician
License number
01020574B
Date granted
08/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
54747 WINDING BROOK DRIVE, Mishawaka IN 46545
indianalicensing.org
ID 5895741
LAST UPDATED 2024-03-21 17:25:29 UTC

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