License holder summary

Anastacia Payot Lagunzad is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Anastacia Payot Lagunzad is Cannelton Clinic, LLC, 510 Washington Street, Cannelton IN 47520. This licensed professional license is current. The license was granted 12/09/2002 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Anastacia Payot Lagunzad
Controlled Substance Registration-Osteopathic Physician
License number
02002549B
Date granted
12/09/2002
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Cannelton Clinic, LLC, 510 Washington Street, Cannelton IN 47520
indianalicensing.org
ID 5796292
LAST UPDATED 2024-05-15 15:23:20 UTC

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