Indiana
Professional Licensing Agency
Michael Lockwood
Controlled Substance Registration - Physician
License number
01032816B
Date granted
10/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2600 FERRY STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5880335
LAST UPDATED 2024-03-21 06:51:30 UTC
LAST UPDATED 2024-03-21 06:51:30 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.