License holder summary

JOSEPHINE BAISAC is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOSEPHINE BAISAC is 1030 NORTH J STREET, RICHMOND IN 47374. This licensed professional license is not current. The license was granted 03/26/1998 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

JOSEPHINE BAISAC
Controlled Substance Registration - Physician
License number
01048292B
Date granted
03/26/1998
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1030 NORTH J STREET, RICHMOND IN 47374
indianalicensing.org
ID 5913537
LAST UPDATED 2024-04-02 10:35:47 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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