License holder summary

Henedina M. Macabalitaw is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Henedina M. Macabalitaw is 2490 Central Avenue, Lake Station IN 46405. This licensed professional license is current. The license was granted 10/28/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Henedina M. Macabalitaw
Controlled Substance Registration - Physician
License number
01041978B
Date granted
10/28/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2490 Central Avenue, Lake Station IN 46405
indianalicensing.org
ID 5881186
LAST UPDATED 2024-05-10 20:00:57 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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