Harold M. Bacchus

Controlled Substance Registration - Physician

Indiana  01034833B   Active

This Indiana license is held by Harold M. Bacchus. The license is currently active. It was granted on 02/08/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01034833B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 02/08/1986 (over 38 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Med-I-Qwik, Inc., 1719 Cremer Avenue, Fort Wayne IN 46818