Indiana
Professional Licensing Agency
Lalitha B. Mutnal
Controlled Substance Registration - Physician
License number
01055973B
Date granted
08/16/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Vincent Hospital, Attn: Administrative Office%C. Gerber, 1300 S. Jackson Street, Frankfort IN 46041
indianalicensing.org
ID 5855126
LAST UPDATED 2024-03-11 16:46:29 UTC
LAST UPDATED 2024-03-11 16:46:29 UTC
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