Lauren Gevana Outlaw

Controlled Substance Registration - Physician

Indiana  01064686B   Active

This Indiana license is held by Lauren Gevana Outlaw. The license is currently active. It was granted on 06/28/2010 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01064686B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/28/2010 (almost 14 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

For Women Only, 1215 Lawn Ave. Suite# 100, Elkhart IN 46514