Indiana
Professional Licensing Agency
Lawrence M. Lavine
Controlled Substance Registration - Physician
License number
01039307C
Date granted
09/09/2002
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
De Kalb Memorial Hospital- Dep of Anesthesiology, 1316 E 7th Street, Auburn IN 46706
indianalicensing.org
ID 5819324
LAST UPDATED 2024-04-03 23:05:53 UTC
LAST UPDATED 2024-04-03 23:05:53 UTC
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