Indiana
Professional Licensing Agency
Philip Edward Lane
Controlled Substance Registration - Physician
License number
01038871F
Date granted
06/19/2013
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Parkview Hospital- Whitley, 1260 E SR, Columbia City IN 46725
indianalicensing.org
ID 5835648
LAST UPDATED 2024-04-25 18:26:33 UTC
LAST UPDATED 2024-04-25 18:26:33 UTC
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