Indiana
Professional Licensing Agency
Lisa Diane Waitches
Controlled Substance Registration-Osteopathic Physician
License number
02002745B
Date granted
03/15/2004
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St. Margaret Mercy: Medical Staff Office, 5454 Hohman Ave, Hammond IN 46320
indianalicensing.org
ID 5802652
LAST UPDATED 2024-05-13 21:22:22 UTC
LAST UPDATED 2024-05-13 21:22:22 UTC
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