Indiana
Professional Licensing Agency
RICARDO POLIDARIO BAYOLA
Controlled Substance Registration - Physician
License number
01048622B
Date granted
08/24/1998
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
TRI CITY COMMUNITY MENTAL HEALTH CTR INC, 3903 INDIANAPOLIS BLVD, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845988
LAST UPDATED 2024-03-09 10:54:53 UTC
LAST UPDATED 2024-03-09 10:54:53 UTC
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