Indiana
Professional Licensing Agency
Marco Baquero
Controlled Substance Registration - Physician
License number
01035071C
Date granted
07/25/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3600 North Prow Road, Bloomington IN 47404
indianalicensing.org
ID 5825149
LAST UPDATED 2024-03-02 19:29:23 UTC
LAST UPDATED 2024-03-02 19:29:23 UTC
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