Indiana
Professional Licensing Agency
Lydia Nicole Marquez
Controlled Substance Registration-Physician Assistant
License number
10001356B
Date granted
06/29/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
LAKE COUNTY DEPT. OF CORRECTIONS, 2293 North main Street, Crown Point IN 46307
indianalicensing.org
ID 8386185
LAST UPDATED 2026-04-23 09:43:09 UTC
LAST UPDATED 2026-04-23 09:43:09 UTC
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