License holder summary

ALEXANDER O CUSTODIO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ALEXANDER O CUSTODIO is REVOKED, P O BOX 321, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 09/30/1982 and expired on 09/30/1983.

Indiana

Professional Licensing Agency

ALEXANDER O CUSTODIO
Controlled Substance Registration - Physician
License number
01022707B
Date granted
09/30/1982
Date expires
09/30/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
REVOKED, P O BOX 321, EAST CHICAGO IN 46312
indianalicensing.org
ID 5844835
LAST UPDATED 2024-03-09 08:58:21 UTC

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