License holder summary

Kotaro Makino is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kotaro Makino is 9899 East 126th Street, Fishers IN 46038. This licensed professional license is current. The license was granted 06/05/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kotaro Makino
Controlled Substance Registration - Physician
License number
01062209B
Date granted
06/05/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9899 East 126th Street, Fishers IN 46038
indianalicensing.org
ID 5851971
LAST UPDATED 2024-02-17 02:32:52 UTC

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