Indiana
Professional Licensing Agency
Leanne Lake
Controlled Substance Registration - Physician
License number
01036535B
Date granted
02/02/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Milroy Family Practice, 7695 South 175 West P O Box 398, Milroy IN 46156
indianalicensing.org
ID 5894380
LAST UPDATED 2024-03-13 21:56:08 UTC
LAST UPDATED 2024-03-13 21:56:08 UTC
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