Indiana
Professional Licensing Agency
Roger Blackwell Bailey
Controlled Substance Registration - Physician
License number
01039162B
Date granted
06/04/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
c/o St. Vincent Surgery Ctr., 227 East McCallister Drive, Terre Haute IN 47802
indianalicensing.org
ID 5926484
LAST UPDATED 2024-04-22 09:02:25 UTC
LAST UPDATED 2024-04-22 09:02:25 UTC
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