JOE L LARA JR
Controlled Substance Registration - Physician
Indiana 01052042B Expired
This Indiana license was held by JOE L LARA JR. The license is no longer active. It was granted on 01/27/2000 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01052042B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/27/2000 (over 24 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Address
PORTER MEMORIAL HEALTH SYSTEMS, 814 LA PORTE AVENUE, Valparaiso IN 46383