Indiana
Professional Licensing Agency
John Lewis
Controlled Substance Registration - Physician
License number
01058343B
Date granted
11/06/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Laporte Hospital-Attn:Jill Newbourne, 1007 Lincoln Way, La Porte IN 46350
indianalicensing.org
ID 5878116
LAST UPDATED 2024-02-07 00:27:58 UTC
LAST UPDATED 2024-02-07 00:27:58 UTC
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