License holder summary

Thomas E. Lautzenheiser is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas E. Lautzenheiser is REDI MED INC N E, 3717 MAPLECREST RD, FORT WAYNE IN 46815. This licensed professional license is current. The license was granted 03/10/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Thomas E. Lautzenheiser
Controlled Substance Registration - Physician
License number
01029234C
Date granted
03/10/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
REDI MED INC N E, 3717 MAPLECREST RD, FORT WAYNE IN 46815
indianalicensing.org
ID 5854626
LAST UPDATED 2024-04-20 21:06:48 UTC

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