JOSEPHINE BAISAC
Controlled Substance Registration - Physician
Indiana 01048292B Expired
This Indiana license was held by JOSEPHINE BAISAC. The license is no longer active. It was granted on 03/26/1998 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01048292B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/26/1998 (about 28 years ago)
- Expiry Date: 06/30/2005 (almost 21 years ago)
LOCATIONS
A Address
1030 NORTH J STREET, RICHMOND IN 47374