License holder summary

CARLOS MACANAS ANTONIO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CARLOS MACANAS ANTONIO is 527 W CHICAGO AVE, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 10/31/1985 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

CARLOS MACANAS ANTONIO
Controlled Substance Registration - Physician
License number
01031108B
Date granted
10/31/1985
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
527 W CHICAGO AVE, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845008
LAST UPDATED 2024-04-20 12:12:05 UTC

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