Indiana
Professional Licensing Agency
Lawrence W. Henderson
Controlled Substance Registration - Physician
License number
01022767B
Date granted
10/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
515 Bayou Street, Vincennes IN 47591
indianalicensing.org
ID 5931056
LAST UPDATED 2024-02-26 01:52:38 UTC
LAST UPDATED 2024-02-26 01:52:38 UTC
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