Indiana
Professional Licensing Agency
Lisa Marie Amanda Austen
Controlled Substance Registration - Physician
License number
01053270B
Date granted
11/15/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Attn Lisa Mills, 10801 North Michigan Road, Zionsville IN 46077
indianalicensing.org
ID 5936974
LAST UPDATED 2024-04-07 23:13:48 UTC
LAST UPDATED 2024-04-07 23:13:48 UTC
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