License holder summary

Hubert Nelson Fernandes is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Hubert Nelson Fernandes is BROADWAY MEDICAL CENTER, 1649 BROADWAY, GARY IN 46407. This licensed professional license is not current. The license was granted 05/22/1997 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Hubert Nelson Fernandes
Controlled Substance Registration - Physician
License number
01046675B
Date granted
05/22/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BROADWAY MEDICAL CENTER, 1649 BROADWAY, GARY IN 46407
indianalicensing.org
ID 5856684
LAST UPDATED 2024-03-08 12:23:11 UTC

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