License holder summary

Lori Lynn Fuqua is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lori Lynn Fuqua is 4781 Kaybee Drive, Gas City IN 46933. This licensed professional license is current. The license was granted 07/01/1987 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lori Lynn Fuqua
Controlled Substance Registration - Physician
License number
01036109B
Date granted
07/01/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4781 Kaybee Drive, Gas City IN 46933
indianalicensing.org
ID 5858024
LAST UPDATED 2024-03-23 08:51:18 UTC

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