License holder summary

Lara Youssef Azzi is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lara Youssef Azzi is 11161 Randolph Street, Crown Point IN 46307. This licensed professional license is not current. The license was granted 02/07/2005 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Lara Youssef Azzi
Controlled Substance Registration - Physician
License number
01060140B
Date granted
02/07/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
11161 Randolph Street, Crown Point IN 46307
indianalicensing.org
ID 5841433
LAST UPDATED 2024-02-24 22:32:04 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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