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
LAST UPDATED 2024-03-08 12:23:11 UTC
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