License holder summary

BENJAMIN F BACALZO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BENJAMIN F BACALZO is 1692 IDLEWILD DRIVE, RICHMOND IN 47374. This licensed professional license is not current. The license was granted 09/01/1977 and expired on 09/30/1982.

Indiana

Professional Licensing Agency

BENJAMIN F BACALZO
Controlled Substance Registration - Physician
License number
01027936B
Date granted
09/01/1977
Date expires
09/30/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1692 IDLEWILD DRIVE, RICHMOND IN 47374
indianalicensing.org
ID 5912606
LAST UPDATED 2024-04-19 18:54:14 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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