Indiana
Professional Licensing Agency
Lisa C. O'Connell
Controlled Substance Registration - Physician
License number
01045237B
Date granted
06/27/1996
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COHA, 605 COTTAGE AVENUE, COLUMBUS IN 47201
indianalicensing.org
ID 5836693
LAST UPDATED 2024-04-07 02:59:04 UTC
LAST UPDATED 2024-04-07 02:59:04 UTC
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