Indiana
Professional Licensing Agency
Deborah Lisk Buckingham
Controlled Substance Registration - Physician
License number
01070890B
Date granted
03/30/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Mary's Medical Center of Evansville, 3700 Washington Avenue, Evansville IN 47714
indianalicensing.org
ID 5849627
LAST UPDATED 2024-03-09 22:34:05 UTC
LAST UPDATED 2024-03-09 22:34:05 UTC
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