Indiana
Professional Licensing Agency
Lauren Jean Dungy-Poythress
Controlled Substance Registration - Physician
License number
01053928B
Date granted
07/23/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
13117 Brooks Landing Place, Carmel IN 46033
indianalicensing.org
ID 5831149
LAST UPDATED 2024-04-01 23:56:59 UTC
LAST UPDATED 2024-04-01 23:56:59 UTC
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