Indiana
Professional Licensing Agency
Charity Dara Baker
Controlled Substance Registration-Osteopathic Physician
License number
02003107B
Date granted
07/24/2006
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
1826 Lilac Trails Ct, South Bend IN 46628
indianalicensing.org
ID 5813221
LAST UPDATED 2024-04-07 01:50:10 UTC
LAST UPDATED 2024-04-07 01:50:10 UTC
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