Indiana
Professional Licensing Agency
Russell William Pellar
Controlled Substance Registration - Physician
License number
01029020B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lake Surgical Associates, LLC, 10110 Donald Powers DR., Suite 202, Munster IN 46321
indianalicensing.org
ID 5901431
LAST UPDATED 2024-03-29 21:56:53 UTC
LAST UPDATED 2024-03-29 21:56:53 UTC
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