Indiana
Professional Licensing Agency
Laurence John Eckel
Controlled Substance Registration - Physician
License number
01059299B
Date granted
06/28/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
620 W. Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895400
LAST UPDATED 2026-03-10 20:47:50 UTC
LAST UPDATED 2026-03-10 20:47:50 UTC
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