Indiana
Professional Licensing Agency
Lawrence M. Lavine
Controlled Substance Registration - Physician
License number
01039307C
Date granted
09/09/2002
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
De Kalb Memorial Hospital- Dep of Anesthesiology, 1316 E 7th Street, Auburn IN 46706
indianalicensing.org
ID 5819324
LAST UPDATED 2024-04-15 10:34:41 UTC
LAST UPDATED 2024-04-15 10:34:41 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.