License holder summary

GARY C LULENSKI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GARY C LULENSKI is EDISON LAKE SPECIALTY OFFICE, 230 E DAY SUITE 180, MISHAWAKA IN 46545. This licensed professional license is not current. The license was granted 08/27/1992 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

GARY C LULENSKI
Controlled Substance Registration - Physician
License number
01040716B
Date granted
08/27/1992
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
EDISON LAKE SPECIALTY OFFICE, 230 E DAY SUITE 180, MISHAWAKA IN 46545
indianalicensing.org
ID 5894969
LAST UPDATED 2026-04-14 23:50:07 UTC

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