Ai-Xuan Le Holterman
Controlled Substance Registration - Physician
Indiana 01057253B Expired
This Indiana license was held by Ai-Xuan Le Holterman. The license is no longer active. It was granted on 02/20/2003 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01057253B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/20/2003 (over 21 years ago)
- Expiry Date: 06/30/2007 (almost 17 years ago)
LOCATIONS
A Address
St. Margaret Healthcare Centers, 5454 Hohman Avenue, Hammond IN 46320