Indiana
Professional Licensing Agency
C ELAINE LANE
Controlled Substance Registration - Physician
License number
01018064B
Date granted
05/31/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8511 MAURICE DRIVE, INDIANAPOLIS IN 46234
indianalicensing.org
ID 5868959
LAST UPDATED 2024-01-30 16:01:31 UTC
LAST UPDATED 2024-01-30 16:01:31 UTC
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