License holder summary

BRUCE JAY BALLON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BRUCE JAY BALLON is LAFAYETTE EYE CLINIC, 3746 ROME DRIVE, LAFAYETTE IN 47905. This licensed professional license is not current. The license was granted 07/29/1993 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

BRUCE JAY BALLON
Controlled Substance Registration - Physician
License number
01041645B
Date granted
07/29/1993
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LAFAYETTE EYE CLINIC, 3746 ROME DRIVE, LAFAYETTE IN 47905
indianalicensing.org
ID 5878975
LAST UPDATED 2024-02-28 02:37:41 UTC

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