Indiana
Professional Licensing Agency
Elsa Nancy Garza Fisk
Controlled Substance Registration - Physician
License number
01025344B
Date granted
05/18/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
GLHS/Medical Staff Office, 2400 South Street, Lafayette IN 47904
indianalicensing.org
ID 5879336
LAST UPDATED 2024-04-01 08:06:02 UTC
LAST UPDATED 2024-04-01 08:06:02 UTC
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