License holder summary

Rafael Marino Baez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rafael Marino Baez is LOGANSPORT STATE HOSP, LOGANSPORT IN 46947. This licensed professional license is not current. The license was granted 02/02/1988 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

Rafael Marino Baez
Controlled Substance Registration - Physician
License number
01023601B
Date granted
02/02/1988
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT STATE HOSP, LOGANSPORT IN 46947
indianalicensing.org
ID 5885562
LAST UPDATED 2024-02-12 09:02:53 UTC

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