Indiana
Professional Licensing Agency
FERNANDO H RIVERA
Controlled Substance Registration - Physician
License number
01027425B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3099 CENTRAL AVE, LAKE STATION IN 46405
indianalicensing.org
ID 5881185
LAST UPDATED 2024-01-30 03:46:30 UTC
LAST UPDATED 2024-01-30 03:46:30 UTC
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