Indiana
Professional Licensing Agency
RAFAEL MACIAS
Controlled Substance Registration - Physician
License number
01020912B
Date granted
08/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
16210 OAK HILL BOULEVARD, GRANGER IN 46530
indianalicensing.org
ID 5859663
LAST UPDATED 2024-03-18 15:55:49 UTC
LAST UPDATED 2024-03-18 15:55:49 UTC
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