Indiana
Professional Licensing Agency
Michael Joel Lalla
Controlled Substance Registration - Physician
License number
01068050C
Date granted
11/30/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
820 Fulton Street, Logansport IN 46947
indianalicensing.org
ID 5885391
LAST UPDATED 2024-03-23 13:22:52 UTC
LAST UPDATED 2024-03-23 13:22:52 UTC
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