Indiana
Professional Licensing Agency
Eugene Lin
Controlled Substance Registration - Physician
License number
01048941B
Date granted
06/12/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Ridge Medical, 2421 LaPorte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5928511
LAST UPDATED 2024-01-14 14:35:41 UTC
LAST UPDATED 2024-01-14 14:35:41 UTC
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