Indiana
Professional Licensing Agency
Jorge Fernandez De Cordova
Controlled Substance Registration - Physician
License number
01045112B
Date granted
05/23/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9201 CALUMET AVENUE, MUNSTER IN 46321
indianalicensing.org
ID 5900633
LAST UPDATED 2024-04-15 18:03:47 UTC
LAST UPDATED 2024-04-15 18:03:47 UTC
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