Mary Beth Balle

Apn Prescriptive Authority

Indiana  71003908A   Active

This Indiana license is held by Mary Beth Balle. The license is currently active. It was granted on 03/09/2012 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71003908A
  • Category: APN Prescriptive Authority
  • Status: Active
  • Date Granted: 03/09/2012 (over 14 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Bloomington IN 47404