License holder summary

JOSE MARQUEZ LARDIZABAL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOSE MARQUEZ LARDIZABAL is Jose M Lardizabal, 190 HOOSIER LANE, BLOOMFIELD IN 47424. This licensed professional license is not current. The license was granted 06/04/1985 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

JOSE MARQUEZ LARDIZABAL
Controlled Substance Registration - Physician
License number
01021661B
Date granted
06/04/1985
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Jose M Lardizabal, 190 HOOSIER LANE, BLOOMFIELD IN 47424
indianalicensing.org
ID 5823639
LAST UPDATED 2024-04-05 22:31:15 UTC

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