License holder summary

Lisa Dawn Raderstorf is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Lisa Dawn Raderstorf is 5838 W. Brick Rd. Suite# 106, South Bend IN 46628. This licensed professional license is current. The license was granted 01/29/2010 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Lisa Dawn Raderstorf
Controlled Substance Registration-Physician Assistant
License number
10000915B
Date granted
01/29/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
5838 W. Brick Rd. Suite# 106, South Bend IN 46628
indianalicensing.org
ID 8388538
LAST UPDATED 2024-02-19 05:38:51 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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