Indiana
Professional Licensing Agency
Mark Alan Lazar
Controlled Substance Registration - Podiatrist
License number
07000591B
Date granted
10/06/1986
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
GREENWOOD FOOT CLINIC, 622 N MADISON AVENUE, GREENWOOD IN 46142
indianalicensing.org
ID 8430611
LAST UPDATED 2024-03-27 08:00:33 UTC
LAST UPDATED 2024-03-27 08:00:33 UTC
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