License holder summary

Lisa Ann Youngblood is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lisa Ann Youngblood is 11725 Illinois Street, Suite 250, Carmel IN 46032. This licensed professional license is current. The license was granted 01/27/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lisa Ann Youngblood
Controlled Substance Registration - Physician
License number
01042167B
Date granted
01/27/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11725 Illinois Street, Suite 250, Carmel IN 46032
indianalicensing.org
ID 5831208
LAST UPDATED 2024-05-06 14:55:56 UTC

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