License holder summary

Rachelina Portolesi Kvietkus is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rachelina Portolesi Kvietkus is 1010 N. Bendix Drive, South Bend IN 46628-1925. This licensed professional license is current. The license was granted 07/25/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Rachelina Portolesi Kvietkus
Controlled Substance Registration - Physician
License number
01045522B
Date granted
07/25/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1010 N. Bendix Drive, South Bend IN 46628-1925
indianalicensing.org
ID 5921941
LAST UPDATED 2024-03-07 02:34:58 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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