License holder summary

MIGUEL F BERUBEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MIGUEL F BERUBEN is 3717 MAIN STREET, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 04/30/1984 and expired on 04/30/1984.

Indiana

Professional Licensing Agency

MIGUEL F BERUBEN
Controlled Substance Registration - Physician
License number
01021943B
Date granted
04/30/1984
Date expires
04/30/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3717 MAIN STREET, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845699
LAST UPDATED 2024-02-22 09:30:36 UTC

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