License holder summary

CONSTANCIO M BAUTISTA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CONSTANCIO M BAUTISTA is SCOTT COUNTY MEMORIAL EMERGENCY DEPT, HIGHWAY 31, SCOTTSBURG IN 47170. This licensed professional license is not current. The license was granted 09/09/1992 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

CONSTANCIO M BAUTISTA
Controlled Substance Registration - Physician
License number
01030127B
Date granted
09/09/1992
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SCOTT COUNTY MEMORIAL EMERGENCY DEPT, HIGHWAY 31, SCOTTSBURG IN 47170
indianalicensing.org
ID 5917538
LAST UPDATED 2024-03-09 10:03:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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