License holder summary

ENEDINO R CORALES is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ENEDINO R CORALES is SOUTHERN HILLS COUNSELING CTR, P O BOX 245, JASPER IN 47546. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

ENEDINO R CORALES
Controlled Substance Registration - Physician
License number
01026808B
Date granted
01/31/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SOUTHERN HILLS COUNSELING CTR, P O BOX 245, JASPER IN 47546
indianalicensing.org
ID 5871511
LAST UPDATED 2024-02-27 20:47:24 UTC

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