BENJAMIN F BACALZO
Controlled Substance Registration - Physician
Indiana 01027936B Expired
This Indiana license was held by BENJAMIN F BACALZO. The license is no longer active. It was granted on 09/01/1977 and expired on 09/30/1982
LICENSE DETAILS
- License Number: 01027936B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/01/1977 (almost 49 years ago)
- Expiry Date: 09/30/1982 (over 43 years ago)
LOCATIONS
A Address
1692 IDLEWILD DRIVE, RICHMOND IN 47374