Bonnie A Lazor Underwood
Controlled Substance Registration - Physician
Indiana 01066088B Expired
This Indiana license was held by Bonnie A Lazor Underwood. The license is no longer active. It was granted on 12/08/2008 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01066088B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/08/2008 (over 16 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Providence Retirement Home, 4915 Charlestown Road, New Albany IN 47150