License holder summary

Martha Hernandez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Martha Hernandez is 3787 Grant Street, Gary IN 46408. This licensed professional license is current. The license was granted 02/23/1988 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Martha Hernandez
Controlled Substance Registration - Physician
License number
01034776B
Date granted
02/23/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3787 Grant Street, Gary IN 46408
indianalicensing.org
ID 5856963
LAST UPDATED 2024-04-06 12:47:41 UTC

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