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
LAST UPDATED 2024-03-09 00:23:47 UTC
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