Indiana
Professional Licensing Agency
Raul Nakamatsu
Controlled Substance Registration - Physician
License number
01057914B
Date granted
07/23/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Medical Staff Office, 1850 State Street, New Albany IN 47150
indianalicensing.org
ID 5903603
LAST UPDATED 2024-02-14 22:52:21 UTC
LAST UPDATED 2024-02-14 22:52:21 UTC
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