Indiana
Professional Licensing Agency
EDIFEL NACU MACATUNO
Physician
License number
01048665A
Date granted
05/28/1998
Date expires
06/30/1999
Class
Physician
Status
Expired Non-Renewable
Address
ROCHESTER NY 14620
indianalicensing.org
ID 6096766
LAST UPDATED 2024-04-30 15:18:44 UTC
LAST UPDATED 2024-04-30 15:18:44 UTC
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