Indiana
Professional Licensing Agency
David W. Laitinen
Controlled Substance Registration - Physician
License number
01032417B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
411 W. Tipton Street, Seymour IN 47274
indianalicensing.org
ID 5918514
LAST UPDATED 2024-04-24 23:21:33 UTC
LAST UPDATED 2024-04-24 23:21:33 UTC
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