Indiana
Professional Licensing Agency
Marion Luther Hagan
Controlled Substance Registration - Physician
License number
01019427B
Date granted
03/31/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
567 SOUTH MAPLE, FRENCH LICK IN 47432
indianalicensing.org
ID 5855849
LAST UPDATED 2024-04-18 12:03:58 UTC
LAST UPDATED 2024-04-18 12:03:58 UTC
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