Indiana
Professional Licensing Agency
John Daniel Ax
Controlled Substance Registration - Podiatrist
License number
07000698B
Date granted
02/27/1990
Date expires
06/30/2005
Class
Controlled Substance Registration - Podiatrist
Status
Expired Non-Renewable
Address
LYONS MEDICAL CLINIC, P O BOX 236 195 EAST BROAD ST, LYONS IN 47443
indianalicensing.org
ID 8431215
LAST UPDATED 2024-05-03 16:27:43 UTC
LAST UPDATED 2024-05-03 16:27:43 UTC
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