Lara Marie Wiziecki

Controlled Substance Registration-Osteopathic Physician

Indiana  02001971B   Active

This Indiana license is held by Lara Marie Wiziecki. The license is currently active. It was granted on 06/25/1998 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 02001971B
  • Category: CSR-Osteopathic Physician
  • Status: Active
  • Date Granted: 06/25/1998 (about 27 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

St. Catherine Hospital, ER Dept, Dr. Jeffery Dubnow, 4321 Fir Street, East Chicago IN 46312