Indiana
Professional Licensing Agency
Lara Falah Jaradat
Controlled Substance Registration - Physician
License number
01061595B
Date granted
08/30/2006
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
720 North Marr Road, Suite 200, Columbus IN 47201
indianalicensing.org
ID 5836655
LAST UPDATED 2024-05-02 07:04:37 UTC
LAST UPDATED 2024-05-02 07:04:37 UTC
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