Maria De Jesus Baltierra
Controlled Substance Registration - Physician
Indiana 01044616B Revoked
This Indiana license was held by Maria De Jesus Baltierra. The license is no longer active. It was granted on 01/25/1996 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01044616B
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 01/25/1996 (over 28 years ago)
- Expiry Date: 06/30/2001 (almost 23 years ago)
LOCATIONS
A Address
WELBORN BAPTIST HOSPITAL EMERGENCY DEPT, 401 SOUTHEAST SIXTH STREET, EVANSVILLE IN 47713