Indiana
Professional Licensing Agency
Rafaelito T. Legaspi
Controlled Substance Registration - Physician
License number
01030003B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
EXECUTIVE PLACE, 7725 BROADWAY # B, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891367
LAST UPDATED 2024-05-17 21:37:55 UTC
LAST UPDATED 2024-05-17 21:37:55 UTC
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