Indiana
Professional Licensing Agency
George Larsen Kneller
Controlled Substance Registration - Physician
License number
01036729B
Date granted
06/06/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Laporte Medical Group, 900 I Street, La Porte IN 46350
indianalicensing.org
ID 5877945
LAST UPDATED 2024-05-01 11:34:32 UTC
LAST UPDATED 2024-05-01 11:34:32 UTC
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