License holder summary

Manuel Fermin Medina, Jr is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Manuel Fermin Medina, Jr is INDIANA HEALTH CENTERS, 3118 SOUTH LAFOUNTAIN, Kokomo IN 46902. This licensed professional license is not current. The license was granted 08/27/1999 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Manuel Fermin Medina, Jr
Controlled Substance Registration - Physician
License number
01051330B
Date granted
08/27/1999
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
INDIANA HEALTH CENTERS, 3118 SOUTH LAFOUNTAIN, Kokomo IN 46902
indianalicensing.org
ID 5876580
LAST UPDATED 2024-03-01 19:04:24 UTC

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