License holder summary

Laurie J. Polubinsky is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Laurie J. Polubinsky is 1800 N. Oak Rd., Plymouth IN 46563. This licensed professional license is not current. The license was granted 05/24/2004 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Laurie J. Polubinsky
Controlled Substance Registration - Physician
License number
01059187B
Date granted
05/24/2004
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1800 N. Oak Rd., Plymouth IN 46563
indianalicensing.org
ID 5910597
LAST UPDATED 2026-03-15 15:30:33 UTC

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