Indiana
Professional Licensing Agency
Lisa Rachelle Klein
Controlled Substance Registration - Physician
License number
01040582B
Date granted
08/12/1992
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Pediatric Cardiology Assoc., 122 Demaree Drive, Madison IN 47250
indianalicensing.org
ID 5886934
LAST UPDATED 2024-04-30 05:45:50 UTC
LAST UPDATED 2024-04-30 05:45:50 UTC
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