Angela Phyllis LaSalle
Controlled Substance Registration - Physician
Indiana 01047101B Active
This Indiana license is held by Angela Phyllis LaSalle. The license is currently active. It was granted on 08/25/1997 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01047101B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/25/1997 (about 29 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Ailanto Group, 3003 E 98th Street, Indianapolis IN 46280
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