Indiana
Professional Licensing Agency
Graciela E. Hernandez
Controlled Substance Registration - Physician
License number
01029949B
Date granted
03/16/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4320 FIR STREET #206, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845321
LAST UPDATED 2024-02-19 09:27:44 UTC
LAST UPDATED 2024-02-19 09:27:44 UTC
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