CATHERINE M BALKEMA
Controlled Substance Registration - Physician
Indiana 01014884B Expired
This Indiana license was held by CATHERINE M BALKEMA. The license is no longer active. It was granted on 04/30/1985 and expired on 04/30/1985
LICENSE DETAILS
- License Number: 01014884B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1985 (about 40 years ago)
- Expiry Date: 04/30/1985 (about 40 years ago)
LOCATIONS
A Address
30 NORTH 21ST, LAFAYETTE IN 47904