Justin J Lightburn
Controlled Substance Registration - Physician
Indiana 01073831B Active
This Indiana license is held by Justin J Lightburn. The license is currently active. It was granted on 04/07/2014 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01073831B
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/07/2014 (almost 11 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Radiology Inc., 620 West Edison Rd., STE 110, Mishawaka IN 46545
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