Indiana
Professional Licensing Agency
Lawrence Ellis Monger
Controlled Substance Registration - Physician
License number
01065315B
Date granted
07/09/2008
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Vincent Physicians Network, 9795 E. 116th Street, Fishers IN 46037
indianalicensing.org
ID 5852046
LAST UPDATED 2024-03-27 10:21:35 UTC
LAST UPDATED 2024-03-27 10:21:35 UTC
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