Indiana
Professional Licensing Agency
RICHARD MAHLON LASALLE
Controlled Substance Registration - Physician
License number
01017745B
Date granted
05/31/1986
Date expires
05/31/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
645 NORTH SPRING STREET, WABASH IN 46992
indianalicensing.org
ID 5931987
LAST UPDATED 2024-02-07 00:18:40 UTC
LAST UPDATED 2024-02-07 00:18:40 UTC
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