License holder summary

Lisa C Juarez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lisa C Juarez is St Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 04/11/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lisa C Juarez
Controlled Substance Registration - Physician
License number
01069415B
Date granted
04/11/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5895427
LAST UPDATED 2024-04-24 03:51:02 UTC

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