License holder summary

Russel Basil Coutinho is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Russel Basil Coutinho is ST MARGARET MERCY HEALTHCARE CENTERS, 5454 HOHMAN AVENUE, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 08/31/1995 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

Russel Basil Coutinho
Controlled Substance Registration - Physician
License number
01044202B
Date granted
08/31/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARGARET MERCY HEALTHCARE CENTERS, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5865208
LAST UPDATED 2024-04-02 18:44:36 UTC

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