License holder summary

FERNANDO H RIVERA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FERNANDO H RIVERA is 3099 CENTRAL AVE, LAKE STATION IN 46405. This licensed professional license is current. The license was granted 07/31/1986 and expired on 10/31/2015.

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

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