CHRISTINA BARON BALLESTER

Controlled Substance Registration - Physician

Indiana  01051563B   Expired

This Indiana license was held by CHRISTINA BARON BALLESTER. The license is no longer active. It was granted on 10/13/1999 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01051563B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/13/1999 (over 24 years ago)
  • Expiry Date: 06/30/2001 (almost 23 years ago)

LOCATIONS

A Address

MADISON CENTER, 403 E MADISON ST, SOUTH BEND IN 46624