Indiana
Professional Licensing Agency
John Christopher Baselle
Controlled Substance Registration - Physician
License number
01051767B
Date granted
12/09/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY HOSPITAL, 301 W HOMER ST, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892848
LAST UPDATED 2024-04-06 20:45:28 UTC
LAST UPDATED 2024-04-06 20:45:28 UTC
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