BARTOLOME M SAUCELO
Controlled Substance Registration - Physician
Indiana 01019524B Expired
This Indiana license was held by BARTOLOME M SAUCELO. The license is no longer active. It was granted on 01/30/1986 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01019524B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/30/1986 (over 39 years ago)
- Expiry Date: 06/30/1997 (almost 28 years ago)
LOCATIONS
A Address
2254 PORTAGE AVENUE, SOUTH BEND IN 46616