License holder summary

VICTORIA MERCADO BAULA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for VICTORIA MERCADO BAULA is FAY MEM HOSP HENRY MEDICAL ART BLDG, 2025 VIRGINIA AVE SUITE D, CONNERSVILLE IN 47331. This licensed professional license is not current. The license was granted 07/14/1993 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

VICTORIA MERCADO BAULA
Controlled Substance Registration - Physician
License number
01041360B
Date granted
07/14/1993
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAY MEM HOSP HENRY MEDICAL ART BLDG, 2025 VIRGINIA AVE SUITE D, CONNERSVILLE IN 47331
indianalicensing.org
ID 5838390
LAST UPDATED 2024-03-01 23:27:41 UTC

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