Indiana
Professional Licensing Agency
Thomas F. Lavelle, Jr
Controlled Substance Registration - Physician
License number
01022236B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Center, 801 E. LaSalle Ave., South Bend IN 46617
indianalicensing.org
ID 5922376
LAST UPDATED 2024-02-14 03:56:28 UTC
LAST UPDATED 2024-02-14 03:56:28 UTC
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