Indiana
Professional Licensing Agency
Sarah Anne LaSalle
Controlled Substance Registration-Osteopathic Physician
License number
02004030B
Date granted
08/07/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Orthopaedics Northeast, PC, 11420 Parkview Circle, Fort Wayne IN 46845-1705
indianalicensing.org
ID 5800808
LAST UPDATED 2024-05-12 09:32:20 UTC
LAST UPDATED 2024-05-12 09:32:20 UTC
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