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
LAST UPDATED 2024-04-05 12:04:35 UTC
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