License holder summary

Lisa Renee' Haston-Fuller is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Lisa Renee' Haston-Fuller is Anderson Center of St. John's, 2210 Jackson Street, Anderson IN 46016. This licensed professional license is not current. The license was granted 12/09/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Lisa Renee' Haston-Fuller
Controlled Substance Registration-Osteopathic Physician
License number
02002703B
Date granted
12/09/2003
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Anderson Center of St. John's, 2210 Jackson Street, Anderson IN 46016
indianalicensing.org
ID 5794678
LAST UPDATED 2024-02-26 10:16:23 UTC

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