License holder summary

Agnes Capili Bacala is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Agnes Capili Bacala is 2051 Clevidence Blvd, Clarksville IN 47129-2278. This licensed professional license is current. The license was granted 02/23/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Agnes Capili Bacala
Controlled Substance Registration - Physician
License number
01043434B
Date granted
02/23/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2051 Clevidence Blvd, Clarksville IN 47129-2278
indianalicensing.org
ID 5834096
LAST UPDATED 2026-03-21 00:46:56 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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