Indiana
Professional Licensing Agency
Charlotte Lavettia Baker
Controlled Substance Registration - Physician
License number
01066919B
Date granted
06/26/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Wabash Hospital, 2900 N. River Road, West Lafayette IN 47906
indianalicensing.org
ID 5933894
LAST UPDATED 2024-02-28 13:24:43 UTC
LAST UPDATED 2024-02-28 13:24:43 UTC
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