License holder summary

HUMBERTO RODRIGUEZ JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for HUMBERTO RODRIGUEZ JR is REDIMED SOUTHWEST, 7333 W JEFFERSON BOULEVARD, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 02/23/1995 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

HUMBERTO RODRIGUEZ JR
Controlled Substance Registration - Physician
License number
01043495B
Date granted
02/23/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
REDIMED SOUTHWEST, 7333 W JEFFERSON BOULEVARD, FORT WAYNE IN 46804
indianalicensing.org
ID 5853415
LAST UPDATED 2024-04-25 05:06:23 UTC

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