Indiana
Professional Licensing Agency
Byron Randall Lais
Controlled Substance Registration - Physician
License number
01057808B
Date granted
07/02/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Goshen General Hosp, 200 High Park Ave, Goshen IN 46526
indianalicensing.org
ID 5858392
LAST UPDATED 2024-05-04 19:18:03 UTC
LAST UPDATED 2024-05-04 19:18:03 UTC
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