Indiana
Professional Licensing Agency
Kathryn Ann Lubak
Controlled Substance Registration - Physician
License number
01057635B
Date granted
05/21/2003
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
440 West Songer Lane, Veedersburg IN 47987
indianalicensing.org
ID 5930340
LAST UPDATED 2024-05-16 23:40:19 UTC
LAST UPDATED 2024-05-16 23:40:19 UTC
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