Lara Youssef Azzi
Controlled Substance Registration - Physician
Indiana 01060140B Expired
This Indiana license was held by Lara Youssef Azzi. The license is no longer active. It was granted on 02/07/2005 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01060140B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/07/2005 (over 21 years ago)
- Expiry Date: 06/30/2009 (about 17 years ago)
LOCATIONS
A Address
11161 Randolph Street, Crown Point IN 46307