Indiana
Professional Licensing Agency
Charles Randall Chube
Controlled Substance Registration - Physician
License number
01045841B
Date granted
01/24/1997
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Great Lakes Family Health Center, 3229 Broadway, Ste. 111, Gary IN 46409
indianalicensing.org
ID 5856322
LAST UPDATED 2024-04-12 09:23:51 UTC
LAST UPDATED 2024-04-12 09:23:51 UTC
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