Indiana
Professional Licensing Agency
Jay D. Schlaifer
Controlled Substance Registration - Physician
License number
01049639B
Date granted
10/13/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Vincent Medical Group, Inc, 3900 St. Francis Way, Suite 205, Lafayette IN 47905-4939
indianalicensing.org
ID 5879702
LAST UPDATED 2024-03-22 17:11:13 UTC
LAST UPDATED 2024-03-22 17:11:13 UTC
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