Indiana
Professional Licensing Agency
Maria De Jesus Baltierra
Controlled Substance Registration - Physician
License number
01044616B
Date granted
01/25/1996
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
WELBORN BAPTIST HOSPITAL EMERGENCY DEPT, 401 SOUTHEAST SIXTH STREET, EVANSVILLE IN 47713
indianalicensing.org
ID 5850570
LAST UPDATED 2024-02-07 01:32:48 UTC
LAST UPDATED 2024-02-07 01:32:48 UTC
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