Indiana
Professional Licensing Agency
Lily Ann Lee
Controlled Substance Registration - Physician
License number
01025717B
Date granted
05/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1309 NORTH MERIDIAN STREET # B, PORTLAND IN 47371
indianalicensing.org
ID 5911524
LAST UPDATED 2024-05-18 21:15:13 UTC
LAST UPDATED 2024-05-18 21:15:13 UTC
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