License holder summary

Elizabeth Anne Basquin is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Elizabeth Anne Basquin is 518 Hillcrest Road, West Lafayette IN 47906. This licensed professional license is current. The license was granted 01/11/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Elizabeth Anne Basquin
Controlled Substance Registration - Physician
License number
01037717B
Date granted
01/11/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
518 Hillcrest Road, West Lafayette IN 47906
indianalicensing.org
ID 5933988
LAST UPDATED 2024-02-26 09:26:26 UTC

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