Indiana
Professional Licensing Agency
Derek Lamont West
Controlled Substance Registration - Physician
License number
01061481B
Date granted
11/16/2005
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Margaret Mercy Hammond Medical Staff Office, 5454 Hohman Ave., Hammond IN 46320
indianalicensing.org
ID 5863765
LAST UPDATED 2024-05-15 07:07:55 UTC
LAST UPDATED 2024-05-15 07:07:55 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.