Indiana
Professional Licensing Agency
Lawrence L. Ciccarelli
Controlled Substance Registration - Physician
License number
01034976B
Date granted
04/04/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MARY SHERMAN HOSPITAL, 320 N SECTION STREET, TERRE HAUTE IN 47802
indianalicensing.org
ID 5925812
LAST UPDATED 2024-04-29 20:25:45 UTC
LAST UPDATED 2024-04-29 20:25:45 UTC
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