License holder summary

Charles W. Bartholome is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Charles W. Bartholome is Dermatology Clinic of Muncie, Inc., 1808 West Royale Drive, Muncie IN 47304. This licensed professional license is current. The license was granted 07/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Charles W. Bartholome
Controlled Substance Registration - Physician
License number
01023816B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Dermatology Clinic of Muncie, Inc., 1808 West Royale Drive, Muncie IN 47304
indianalicensing.org
ID 5897807
LAST UPDATED 2024-01-28 04:41:38 UTC

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