License holder summary

DOMENICO LAZZARO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DOMENICO LAZZARO is 8767 Park Lane, Saint John IN 46373. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

DOMENICO LAZZARO
Controlled Substance Registration - Physician
License number
01026137B
Date granted
04/30/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8767 Park Lane, Saint John IN 46373
indianalicensing.org
ID 5916190
LAST UPDATED 2024-03-28 20:23:54 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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