License holder summary

EMMANUEL FERMIN HIPOLITO JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EMMANUEL FERMIN HIPOLITO JR is CHARLESTON FAMILY PRACTICE, 2100 MARKET STREET, CHARLESTOWN IN 47111. This licensed professional license is not current. The license was granted 09/04/1996 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

EMMANUEL FERMIN HIPOLITO JR
Controlled Substance Registration - Physician
License number
01045690B
Date granted
09/04/1996
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CHARLESTON FAMILY PRACTICE, 2100 MARKET STREET, CHARLESTOWN IN 47111
indianalicensing.org
ID 5832952
LAST UPDATED 2024-02-26 10:22:20 UTC

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