Indiana
Professional Licensing Agency
Lora Ann Overton
Controlled Substance Registration-Osteopathic Physician
License number
02001611B
Date granted
12/01/1994
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
3217 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5800605
LAST UPDATED 2024-03-23 08:58:22 UTC
LAST UPDATED 2024-03-23 08:58:22 UTC
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