Indiana
Professional Licensing Agency
Charles W. Lackey
Controlled Substance Registration-Osteopathic Physician
License number
02003182B
Date granted
12/21/2007
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St. Mary's Breast Center, 711 St. Mary's Drive, Evansville IN 47714
indianalicensing.org
ID 5799426
LAST UPDATED 2024-02-12 21:30:56 UTC
LAST UPDATED 2024-02-12 21:30:56 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.