Indiana
Professional Licensing Agency
Debra Balos
Controlled Substance Registration-Osteopathic Physician
License number
02003805B
Date granted
06/15/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St. Joseph Physicians, 188 East Southway Blvd, Kokomo IN 46902
indianalicensing.org
ID 5806537
LAST UPDATED 2024-03-20 02:36:42 UTC
LAST UPDATED 2024-03-20 02:36:42 UTC
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