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
LAST UPDATED 2024-04-01 11:54:04 UTC
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