Indiana
Professional Licensing Agency
Laura Jean Hazeltine
Controlled Substance Registration - Physician
License number
01037100B
Date granted
06/14/1989
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
105 Geneva Drive, Tell City IN 47586
indianalicensing.org
ID 5924224
LAST UPDATED 2024-03-30 00:28:44 UTC
LAST UPDATED 2024-03-30 00:28:44 UTC
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