License holder summary

Martin Bialow is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Martin Bialow is St. Joseph Medical Center, 1915 Lake Avenue, Plymouth IN 46563. This licensed professional license is not current. The license was granted 06/15/2007 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Martin Bialow
Controlled Substance Registration - Physician
License number
01063929B
Date granted
06/15/2007
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Joseph Medical Center, 1915 Lake Avenue, Plymouth IN 46563
indianalicensing.org
ID 5910611
LAST UPDATED 2024-04-05 12:04:35 UTC

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