License holder summary

Lisa Michelle Holtsclaw is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Lisa Michelle Holtsclaw is Lisa M Holtsclaw D.O., 4666 W. Jefferson Blvd., Suite 140, Fort Wayne IN 46804. This licensed professional license is current. The license was granted 07/28/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lisa Michelle Holtsclaw
Controlled Substance Registration-Osteopathic Physician
License number
02001568B
Date granted
07/28/1994
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Lisa M Holtsclaw D.O., 4666 W. Jefferson Blvd., Suite 140, Fort Wayne IN 46804
indianalicensing.org
ID 5800612
LAST UPDATED 2024-03-22 10:52:44 UTC

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