Indiana
Professional Licensing Agency
Bonnie A Lazor Underwood
Controlled Substance Registration - Physician
License number
01066088B
Date granted
12/08/2008
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Providence Retirement Home, 4915 Charlestown Road, New Albany IN 47150
indianalicensing.org
ID 27716361
LAST UPDATED 2024-03-20 10:14:54 UTC
LAST UPDATED 2024-03-20 10:14:54 UTC
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