Indiana
Professional Licensing Agency
Katherine Lisoni
Controlled Substance Registration - Physician
License number
01061786B
Date granted
05/17/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
HealthLinc Inc, 420 West 4th Street, Mishawaka IN 46544
indianalicensing.org
ID 5895318
LAST UPDATED 2024-04-13 10:20:00 UTC
LAST UPDATED 2024-04-13 10:20:00 UTC
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