Indiana
Professional Licensing Agency
Alfred Lyle Havens
Controlled Substance Registration - Physician
License number
01016663B
Date granted
03/31/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
207 Sparks Avenue #200, Jeffersonville IN 47130
indianalicensing.org
ID 5872287
LAST UPDATED 2024-02-12 00:44:02 UTC
LAST UPDATED 2024-02-12 00:44:02 UTC
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