Indiana
Professional Licensing Agency
LISA CAROL BAKER
Controlled Substance Registration - Physician
License number
01045190B
Date granted
07/22/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GREENTREE MEDICAL OFFICE, 1615 BLACKISTON DR, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873495
LAST UPDATED 2024-02-07 21:58:19 UTC
LAST UPDATED 2024-02-07 21:58:19 UTC
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