License holder summary

Carlos Rhashad Bolden is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Carlos Rhashad Bolden is The South Bend Clinic-Granger, 14950 State Road 23, Granger IN 46530. This licensed professional license is current. The license was granted 04/10/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Carlos Rhashad Bolden
Controlled Substance Registration - Physician
License number
01070920B
Date granted
04/10/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
The South Bend Clinic-Granger, 14950 State Road 23, Granger IN 46530
indianalicensing.org
ID 5859425
LAST UPDATED 2024-03-19 01:26:45 UTC

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