Indiana
Professional Licensing Agency
Ai-Xuan Le Holterman
Controlled Substance Registration - Physician
License number
01057253B
Date granted
02/20/2003
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Margaret Healthcare Centers, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5863330
LAST UPDATED 2024-04-11 17:48:09 UTC
LAST UPDATED 2024-04-11 17:48:09 UTC
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