License holder summary

Lisa D Daniel is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lisa D Daniel is Womens Specialist Northwest Indiana, 3924-26 Main St #202, East Chicago IN 46312. This licensed professional license is not current. The license was granted 09/03/2004 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Lisa D Daniel
Controlled Substance Registration - Physician
License number
01059684B
Date granted
09/03/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Womens Specialist Northwest Indiana, 3924-26 Main St #202, East Chicago IN 46312
indianalicensing.org
ID 5845586
LAST UPDATED 2024-03-19 03:04:43 UTC

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