Indiana
Professional Licensing Agency
Lee A. Henderson
Controlled Substance Registration - Physician
License number
01035929C
Date granted
03/03/2003
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Medical Diagnostic Services, P O Box 5628, 2400 South Street, Lafayette IN 47904
indianalicensing.org
ID 5880131
LAST UPDATED 2024-04-23 13:14:52 UTC
LAST UPDATED 2024-04-23 13:14:52 UTC
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