Laurie J. Polubinsky

Controlled Substance Registration - Physician

Indiana  01059187B   Expired

This Indiana license was held by Laurie J. Polubinsky. The license is no longer active. It was granted on 05/24/2004 and expired on 06/30/2011

LICENSE DETAILS

  • License Number: 01059187B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 05/24/2004 (about 22 years ago)
  • Expiry Date: 06/30/2011 (almost 15 years ago)

LOCATIONS

A Address

1800 N. Oak Rd., Plymouth IN 46563