License holder summary

Lisa D. Mullally is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Lisa D. Mullally is 12632 Pennsylvania Place, Crown Point IN 46307. This licensed professional license is current. The license was granted 07/27/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lisa D. Mullally
Controlled Substance Registration-Osteopathic Physician
License number
02003098B
Date granted
07/27/2006
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
12632 Pennsylvania Place, Crown Point IN 46307
indianalicensing.org
ID 5797712
LAST UPDATED 2024-03-05 06:20:42 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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