Indiana
Professional Licensing Agency
Lisa Leigh Pederson Baldridge
Controlled Substance Registration-Osteopathic Physician
License number
02002605B
Date granted
03/20/2003
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Unity Physician Group, 1155 West Third Street, Bloomington IN 47401-4
indianalicensing.org
ID 5795496
LAST UPDATED 2024-03-11 08:20:13 UTC
LAST UPDATED 2024-03-11 08:20:13 UTC
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