Indiana
Professional Licensing Agency
Jill Suzanne Melicher Larson
Controlled Substance Registration - Physician
License number
01066815B
Date granted
07/27/2009
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
275 Bielby Road, Lawrenceburg IN 47025
indianalicensing.org
ID 5882380
LAST UPDATED 2024-04-25 22:50:28 UTC
LAST UPDATED 2024-04-25 22:50:28 UTC
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