Indiana
Professional Licensing Agency
Andrew R. Hart
Controlled Substance Registration - Physician
License number
01041383B
Date granted
07/14/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2600 GREENBUSH STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5878787
LAST UPDATED 2024-01-31 03:01:32 UTC
LAST UPDATED 2024-01-31 03:01:32 UTC
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