Indiana
Professional Licensing Agency
Maggie Marie Lasley
Controlled Substance Registration - Physician
License number
01067733B
Date granted
01/27/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1 Stone Wall Lane, Zionsville IN 46077
indianalicensing.org
ID 5937002
LAST UPDATED 2024-02-16 03:51:00 UTC
LAST UPDATED 2024-02-16 03:51:00 UTC
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