Indiana
Professional Licensing Agency
Joseph Patrick Lisanti
Controlled Substance Registration-Osteopathic Physician
License number
02003522B
Date granted
03/14/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Activate Healthcare Clinic, Monarch Beverage, 9347 Pendelton Pike, Indianapolis IN 46236
indianalicensing.org
ID 5804824
LAST UPDATED 2024-03-27 03:19:03 UTC
LAST UPDATED 2024-03-27 03:19:03 UTC
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