Indiana
Professional Licensing Agency
David Hazra
Controlled Substance Registration - Physician
License number
01063184B
Date granted
10/22/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
General Motors, Health Services Department, 12200 Lafayette Center Road, Roanoke IN 46783
indianalicensing.org
ID 5914857
LAST UPDATED 2026-03-26 17:12:35 UTC
LAST UPDATED 2026-03-26 17:12:35 UTC
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