Martin Bialow
Controlled Substance Registration - Physician
Indiana 01063929B Expired
This Indiana license was held by Martin Bialow. The license is no longer active. It was granted on 06/15/2007 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01063929B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/15/2007 (almost 19 years ago)
- Expiry Date: 06/30/2009 (almost 17 years ago)
LOCATIONS
A Address
St. Joseph Medical Center, 1915 Lake Avenue, Plymouth IN 46563