License holder summary

CHRISTINA BARON BALLESTER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CHRISTINA BARON BALLESTER is MADISON CENTER, 403 E MADISON ST, SOUTH BEND IN 46624. This licensed professional license is not current. The license was granted 10/13/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

CHRISTINA BARON BALLESTER
Controlled Substance Registration - Physician
License number
01051563B
Date granted
10/13/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MADISON CENTER, 403 E MADISON ST, SOUTH BEND IN 46624
indianalicensing.org
ID 5920592
LAST UPDATED 2024-03-15 19:50:52 UTC

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