Indiana
Professional Licensing Agency
Gerardo L Baldassarri
Controlled Substance Registration - Physician
License number
01053519B
Date granted
08/14/2001
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CENTER FOR FAMILY PRACTICE, 1753 FULTON STREET, Elkhart IN 46514
indianalicensing.org
ID 5847279
LAST UPDATED 2024-02-12 01:21:13 UTC
LAST UPDATED 2024-02-12 01:21:13 UTC
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