License holder summary

Graciela E. Hernandez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Graciela E. Hernandez is 4320 FIR STREET #206, EAST CHICAGO IN 46312. This licensed professional license is current. The license was granted 03/16/1986 and expired on 10/31/2015.

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

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