Indiana
Professional Licensing Agency
Bayne Waldon Spotwood
Controlled Substance Registration - Physician
License number
01033117B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Healthy Lifesyles Community Health Center, 1313 West Chicago Avenue, East Chicago IN 46312
indianalicensing.org
ID 5844968
LAST UPDATED 2024-04-05 23:50:51 UTC
LAST UPDATED 2024-04-05 23:50:51 UTC
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