Indiana
Professional Licensing Agency
Lawrence Alfred De Renne
Controlled Substance Registration - Physician
License number
01024939B
Date granted
08/31/1983
Date expires
08/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
465 WEXFORD RAOD, VALPARAISO IN 46383
indianalicensing.org
ID 5929033
LAST UPDATED 2024-03-05 19:25:26 UTC
LAST UPDATED 2024-03-05 19:25:26 UTC
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