Indiana
Professional Licensing Agency
Lyle R. Munn
Controlled Substance Registration - Physician
License number
01031582B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2809 Market Street, Chesterton IN 46304
indianalicensing.org
ID 5833750
LAST UPDATED 2024-04-02 05:21:30 UTC
LAST UPDATED 2024-04-02 05:21:30 UTC
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