License holder summary

Raigan Adrian Burkall-Lewis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Raigan Adrian Burkall-Lewis is Memorial Medical Group-Laporte, 900 I Street, La Porte IN 46350. This licensed professional license is current. The license was granted 12/14/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Raigan Adrian Burkall-Lewis
Controlled Substance Registration - Physician
License number
01070476B
Date granted
12/14/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Memorial Medical Group-Laporte, 900 I Street, La Porte IN 46350
indianalicensing.org
ID 5878414
LAST UPDATED 2024-03-14 15:33:31 UTC

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