Indiana
Professional Licensing Agency
Barbara Elaine Larson
Controlled Substance Registration - Physician
License number
01051945C
Date granted
03/06/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Great Lakes Anesthesia, 56218 Parkway Ave Ste B, Elkhart IN 46516
indianalicensing.org
ID 5846678
LAST UPDATED 2024-04-11 20:01:20 UTC
LAST UPDATED 2024-04-11 20:01:20 UTC
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