Indiana
Professional Licensing Agency
LILLIAN S HOLDEMAN
Controlled Substance Registration - Physician
License number
01012507B
Date granted
03/31/1986
Date expires
03/31/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2015 WESTERN AVENUE #317, SOUTH BEND IN 46619
indianalicensing.org
ID 5921562
LAST UPDATED 2024-02-25 09:27:38 UTC
LAST UPDATED 2024-02-25 09:27:38 UTC
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