Indiana
Professional Licensing Agency
Katrina LaFaye Lee
Controlled Substance Registration - Physician
License number
01067404B
Date granted
10/27/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Care Center for Women, 9660 Wicker Avenue, Saint John IN 46373-9487
indianalicensing.org
ID 5916230
LAST UPDATED 2024-03-24 14:17:14 UTC
LAST UPDATED 2024-03-24 14:17:14 UTC
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