Indiana
Professional Licensing Agency
Maria Lee De la Cruz
Controlled Substance Registration - Physician
License number
01066600B
Date granted
04/27/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Harrison Family Medicine, 313 Federal Drive NW, Suite 200, Corydon IN 47112
indianalicensing.org
ID 5839007
LAST UPDATED 2024-03-28 23:18:02 UTC
LAST UPDATED 2024-03-28 23:18:02 UTC
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