License holder summary

RODOLFO MENDEZ CANCEL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RODOLFO MENDEZ CANCEL is 3613 GRAND BOULEVARD, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 11/17/1994 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

RODOLFO MENDEZ CANCEL
Controlled Substance Registration - Physician
License number
01043062B
Date granted
11/17/1994
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3613 GRAND BOULEVARD, EAST CHICAGO IN 46312
indianalicensing.org
ID 5846037
LAST UPDATED 2024-03-05 16:12:08 UTC

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