Indiana
Professional Licensing Agency
Nicholas William Lazoff
Controlled Substance Registration - Physician
License number
01048939B
Date granted
07/01/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
805 HIGH STREET, Decatur IN 46733
indianalicensing.org
ID 5843338
LAST UPDATED 2024-04-20 16:55:07 UTC
LAST UPDATED 2024-04-20 16:55:07 UTC
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