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
LAST UPDATED 2024-05-06 14:55:56 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.