Charlotte Lavettia Baker

Controlled Substance Registration - Physician

Indiana  01066919B   Active

This Indiana license is held by Charlotte Lavettia Baker. The license is currently active. It was granted on 06/26/2009 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01066919B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/26/2009 (about 15 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Wabash Hospital, 2900 N. River Road, West Lafayette IN 47906