License holder summary

Manuel Hernandez Decastro is a Physician licensed to practice in Indiana. The address on file for Manuel Hernandez Decastro is Middletown NY 10940-6859. This licensed professional license is not current. The license was granted 07/26/2001 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Manuel Hernandez Decastro
Physician
License number
01054712A
Date granted
07/26/2001
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
Middletown NY 10940-6859
indianalicensing.org
ID 6078138
LAST UPDATED 2024-02-13 13:07:01 UTC

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