Indiana
Professional Licensing Agency
Frances Raquel Baccus
Controlled Substance Registration - Physician
License number
01073575B
Date granted
02/20/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
24620 County Road 26, Elkhart IN 46517
indianalicensing.org
ID 27704099
LAST UPDATED 2024-01-24 20:20:27 UTC
LAST UPDATED 2024-01-24 20:20:27 UTC
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