Indiana
Professional Licensing Agency
PHILIP BRUCE LOCKHART
Controlled Substance Registration - Physician
License number
01015583B
Date granted
05/27/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1611 E WAYNE STREET, SOUTH BEND IN 46615
indianalicensing.org
ID 5921897
LAST UPDATED 2024-03-01 09:18:28 UTC
LAST UPDATED 2024-03-01 09:18:28 UTC
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