Indiana
Professional Licensing Agency
Ann Lucinda Hammon
Controlled Substance Registration - Physician
License number
01058581B
Date granted
01/21/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Madison State Hospital/attn:Pat Lathram, 711 Green Rd, Madison IN 47250
indianalicensing.org
ID 5886276
LAST UPDATED 2024-03-01 01:35:09 UTC
LAST UPDATED 2024-03-01 01:35:09 UTC
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