Indiana
Professional Licensing Agency
Lisa C. Hendricks
Controlled Substance Registration - Physician
License number
01046928B
Date granted
06/26/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1507 Wabash Street, Suite 500A, Michigan City IN 46360
indianalicensing.org
ID 5892998
LAST UPDATED 2024-03-18 08:24:01 UTC
LAST UPDATED 2024-03-18 08:24:01 UTC
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