Indiana
Professional Licensing Agency
Renee Diane Lass
Controlled Substance Registration-Osteopathic Physician
License number
02002557B
Date granted
09/25/2002
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Renee Lass, 12002 Eagle Creek Place, Fort Wayne IN 46814
indianalicensing.org
ID 5800832
LAST UPDATED 2024-04-21 21:14:08 UTC
LAST UPDATED 2024-04-21 21:14:08 UTC
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