Indiana
Professional Licensing Agency
Lauren Harting
Controlled Substance Registration - Physician
License number
01059320B
Date granted
08/25/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1356 South Lake Park Avenue, Hobart IN 46342
indianalicensing.org
ID 5867359
LAST UPDATED 2024-04-04 11:37:23 UTC
LAST UPDATED 2024-04-04 11:37:23 UTC
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