License holder summary

Debra Sue Booton Bailey is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Debra Sue Booton Bailey is St. Joseph;s Regional Medical Center, 1915 Lake Avenue, Plymouth IN 46563. This licensed professional license is not current. The license was granted 05/12/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Debra Sue Booton Bailey
Controlled Substance Registration - Physician
License number
01057147B
Date granted
05/12/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Joseph;s Regional Medical Center, 1915 Lake Avenue, Plymouth IN 46563
indianalicensing.org
ID 5910402
LAST UPDATED 2024-02-12 03:08:05 UTC

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