License holder summary

Lisa Lynn Martin is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lisa Lynn Martin is 1542 South Bloomington, Greencastle IN 46135. This licensed professional license is current. The license was granted 05/28/2002 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lisa Lynn Martin
Controlled Substance Registration - Physician
License number
01056225B
Date granted
05/28/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1542 South Bloomington, Greencastle IN 46135
indianalicensing.org
ID 5859929
LAST UPDATED 2024-02-25 11:55:16 UTC

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