Indiana
Professional Licensing Agency
MICHAEL STEPHEN LARSON
Controlled Substance Registration - Physician
License number
01026807C
Date granted
05/09/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana State Prison, 1 Park Road, Michigan City IN 46360
indianalicensing.org
ID 5893164
LAST UPDATED 2026-05-17 20:21:50 UTC
LAST UPDATED 2026-05-17 20:21:50 UTC
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