License holder summary

Lisa Falotico is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Lisa Falotico is Ortho NorthEast, 5050 North Clinton Street, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 06/13/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lisa Falotico
Controlled Substance Registration-Osteopathic Physician
License number
02003848B
Date granted
06/13/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Ortho NorthEast, 5050 North Clinton Street, Fort Wayne IN 46825
indianalicensing.org
ID 5800601
LAST UPDATED 2024-04-01 11:54:04 UTC

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