Indiana
Professional Licensing Agency
Jose Fernal Bicalho
Controlled Substance Registration - Physician
License number
01023220B
Date granted
04/30/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8900 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890738
LAST UPDATED 2024-03-25 17:21:11 UTC
LAST UPDATED 2024-03-25 17:21:11 UTC
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