Indiana
Professional Licensing Agency
John Benjamin Baccus
Controlled Substance Registration - Physician
License number
01072136B
Date granted
02/11/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Elkhart General Hospital, 600 East Blvd, Elkhart IN 46514
indianalicensing.org
ID 5847554
LAST UPDATED 2024-02-12 22:07:04 UTC
LAST UPDATED 2024-02-12 22:07:04 UTC
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