Indiana
Professional Licensing Agency
Sue A. Leuschke
Controlled Substance Registration - Physician
License number
01024398B
Date granted
03/22/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
415 N. 26th St. #201, Lafayette IN 47904
indianalicensing.org
ID 5820687
LAST UPDATED 2024-02-14 06:06:47 UTC
LAST UPDATED 2024-02-14 06:06:47 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.