Indiana
Professional Licensing Agency
CATHERINE M BALKEMA
Controlled Substance Registration - Physician
License number
01014884B
Date granted
04/30/1985
Date expires
04/30/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
30 NORTH 21ST, LAFAYETTE IN 47904
indianalicensing.org
ID 5878905
LAST UPDATED 2024-03-09 06:52:32 UTC
LAST UPDATED 2024-03-09 06:52:32 UTC
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