Indiana
Professional Licensing Agency
Lisa Maria Dorsey
Controlled Substance Registration - Physician
License number
01070332B
Date granted
10/14/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Main Street Medical Center, 6913 N Main Street, Ste 300, Granger IN 46530
indianalicensing.org
ID 5859552
LAST UPDATED 2024-04-04 23:07:07 UTC
LAST UPDATED 2024-04-04 23:07:07 UTC
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