Indiana
Professional Licensing Agency
Harold M. Bacchus
Controlled Substance Registration - Physician
License number
01034833B
Date granted
02/08/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Med-I-Qwik, Inc., 1719 Cremer Avenue, Fort Wayne IN 46818
indianalicensing.org
ID 5853398
LAST UPDATED 2024-03-29 18:36:54 UTC
LAST UPDATED 2024-03-29 18:36:54 UTC
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