Indiana
Professional Licensing Agency
Mary Jane Baladad
Controlled Substance Registration-Osteopathic Physician
License number
02001844B
Date granted
05/22/1997
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY EMERGENCY DEPT, 5454 HOHMAN AVE, HAMMOND IN 46320
indianalicensing.org
ID 5802723
LAST UPDATED 2024-04-20 23:08:40 UTC
LAST UPDATED 2024-04-20 23:08:40 UTC
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