Indiana
Professional Licensing Agency
JOHN LARWENCE HAST
Controlled Substance Registration - Physician
License number
01030829B
Date granted
02/18/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
761 WASHINGTON STREET, ROCKPORT IN 47635
indianalicensing.org
ID 5915318
LAST UPDATED 2024-04-05 18:40:00 UTC
LAST UPDATED 2024-04-05 18:40:00 UTC
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