License holder summary

JESUS C BACALA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JESUS C BACALA is 69 EAST WARDELL STREET, SCOTTSBURG IN 47170. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

JESUS C BACALA
Controlled Substance Registration - Physician
License number
01021800B
Date granted
04/30/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
69 EAST WARDELL STREET, SCOTTSBURG IN 47170
indianalicensing.org
ID 5917669
LAST UPDATED 2024-02-29 19:10:24 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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