Indiana
Professional Licensing Agency
Laura K. Backer
Controlled Substance Registration - Physician
License number
01049081B
Date granted
07/23/1998
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LA PORT HOSPITAL, LA PORT HOSP INC P O BOX 250, LAPORTE IN 46350
indianalicensing.org
ID 5878218
LAST UPDATED 2024-03-17 12:48:53 UTC
LAST UPDATED 2024-03-17 12:48:53 UTC
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