EDYTHE THOMAS LOTHARIUS

Controlled Substance Registration - Physician

Indiana  01040494D   Expired

This Indiana license was held by EDYTHE THOMAS LOTHARIUS. The license is no longer active. It was granted on 05/20/2002 and expired on 06/30/2003

LICENSE DETAILS

  • License Number: 01040494D
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 05/20/2002 (over 24 years ago)
  • Expiry Date: 06/30/2003 (about 23 years ago)

LOCATIONS

A Address

Medcheck Carmel, 11911 North Meridian Street, Carmel IN 46032