Indiana
Professional Licensing Agency
Sonal Jog Bazeley
Controlled Substance Registration - Physician
License number
01070222B
Date granted
10/05/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Vincent Health- St Joseph Hospital, 1907 W Sycamore Street, Kokomo IN 46901
indianalicensing.org
ID 5877138
LAST UPDATED 2026-04-09 03:43:49 UTC
LAST UPDATED 2026-04-09 03:43:49 UTC
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