Indiana
Professional Licensing Agency
Jason Edward Lewis
Controlled Substance Registration - Physician
License number
01070104B
Date granted
09/26/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CPI-Lapel Medical Arts, 1675 N Main Street, Lapel IN 46051
indianalicensing.org
ID 5881406
LAST UPDATED 2024-03-04 01:38:26 UTC
LAST UPDATED 2024-03-04 01:38:26 UTC
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