Indiana
Professional Licensing Agency
ROBERT M LASALLE JR
Controlled Substance Registration - Physician
License number
01017454B
Date granted
05/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
442 NORTH WABASH STREET, WABASH IN 46992
indianalicensing.org
ID 5931993
LAST UPDATED 2024-04-09 21:05:19 UTC
LAST UPDATED 2024-04-09 21:05:19 UTC
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