Indiana
Professional Licensing Agency
Lisa Mikulcik Summe
Controlled Substance Registration - Physician
License number
01073384B
Date granted
12/04/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Dearborn Co. Hospital, 600 Wilson Creek Rd., Lawrenceburg IN 47025
indianalicensing.org
ID 27712179
LAST UPDATED 2024-04-14 00:33:41 UTC
LAST UPDATED 2024-04-14 00:33:41 UTC
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