Indiana
Professional Licensing Agency
Lisa Marie Ronback
Controlled Substance Registration - Physician
License number
01045175B
Date granted
05/23/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1430 East 9th Street, Rochester IN 46975
indianalicensing.org
ID 5915082
LAST UPDATED 2026-06-08 12:12:03 UTC
LAST UPDATED 2026-06-08 12:12:03 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.