Indiana
Professional Licensing Agency
Justin Lane
Controlled Substance Registration-Osteopathic Physician
License number
02000281B
Date granted
05/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
7416 RADBURN CIRCLE, INDIANAPOLIS IN 46214
indianalicensing.org
ID 5804885
LAST UPDATED 2024-03-13 01:21:36 UTC
LAST UPDATED 2024-03-13 01:21:36 UTC
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