Indiana
Professional Licensing Agency
CARLOS RODOLFO ALFARAZ
Controlled Substance Registration - Physician
License number
01039703C
Date granted
06/11/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Med Watch, 4111 Franklin Street, Michigan City IN 46360
indianalicensing.org
ID 5892301
LAST UPDATED 2024-04-23 15:19:09 UTC
LAST UPDATED 2024-04-23 15:19:09 UTC
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