Indiana
Professional Licensing Agency
Larry Hall Lambertson
Controlled Substance Registration - Physician
License number
01040684B
Date granted
08/27/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PARK CENTER INC, 909 EAST STATE BOULEVARD, FORT WAYNE IN 46805
indianalicensing.org
ID 5853881
LAST UPDATED 2024-02-27 10:52:28 UTC
LAST UPDATED 2024-02-27 10:52:28 UTC
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