License holder summary

OTHO M LACKEY JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for OTHO M LACKEY JR is 4199 Gateway Blvd., Suite 2400, Newburgh IN 47630. This licensed professional license is current. The license was granted 07/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

OTHO M LACKEY JR
Controlled Substance Registration - Physician
License number
01029297B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4199 Gateway Blvd., Suite 2400, Newburgh IN 47630
indianalicensing.org
ID 5906089
LAST UPDATED 2026-06-17 17:05:13 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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