License holder summary

Raphael Carl Lee is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Raphael Carl Lee is St. Mary's Medical Center, 1500 South Lake Park Avenue, Hobart IN 46342. This licensed professional license is current. The license was granted 12/09/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Raphael Carl Lee
Controlled Substance Registration - Physician
License number
01051821B
Date granted
12/09/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Mary's Medical Center, 1500 South Lake Park Avenue, Hobart IN 46342
indianalicensing.org
ID 5867637
LAST UPDATED 2024-03-09 14:06:51 UTC

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