Indiana
Professional Licensing Agency
Raul Hernandez
Controlled Substance Registration - Physician
License number
01066400B
Date granted
09/01/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Vincent Clay Hospital- Emergency Department, 1206 E. National Ave., Brazil IN 47834
indianalicensing.org
ID 5827821
LAST UPDATED 2024-04-23 02:56:43 UTC
LAST UPDATED 2024-04-23 02:56:43 UTC
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