Indiana
Professional Licensing Agency
Lisa Burckhartzmeyer
Controlled Substance Registration - Physician
License number
01068130B
Date granted
06/09/2010
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Yeoman Way, Westfield IN 46074
indianalicensing.org
ID 5934825
LAST UPDATED 2026-04-17 04:23:25 UTC
LAST UPDATED 2026-04-17 04:23:25 UTC
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