License holder summary

Lance Andre Maki is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lance Andre Maki is 406 FAIRGROUNDS ROAD, TIPTON IN 46072. This licensed professional license is not current. The license was granted 10/02/1992 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Lance Andre Maki
Controlled Substance Registration - Physician
License number
01040766B
Date granted
10/02/1992
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
406 FAIRGROUNDS ROAD, TIPTON IN 46072
indianalicensing.org
ID 5927244
LAST UPDATED 2024-03-09 00:23:47 UTC

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