Indiana
Professional Licensing Agency
Debra Ann Lane
Controlled Substance Registration - Physician
License number
01056226B
Date granted
05/31/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Elkhart General Hospital, 600 East Blvd, Elkhart IN 46514
indianalicensing.org
ID 5847044
LAST UPDATED 2024-04-19 16:26:40 UTC
LAST UPDATED 2024-04-19 16:26:40 UTC
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