License holder summary

Balwant Singh Mallik is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Balwant Singh Mallik is Madison State Hospital, 711 Green Road, Madison IN 47250. This licensed professional license is not current. The license was granted 08/08/2002 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Balwant Singh Mallik
Controlled Substance Registration - Physician
License number
01029914C
Date granted
08/08/2002
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Madison State Hospital, 711 Green Road, Madison IN 47250
indianalicensing.org
ID 5886287
LAST UPDATED 2024-03-25 10:56:44 UTC

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