LIDIA STANA ILCUS
Controlled Substance Registration - Physician
Indiana 01044352B Expired
This Indiana license was held by LIDIA STANA ILCUS. The license is no longer active. It was granted on 03/27/1997 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01044352B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/27/1997 (over 29 years ago)
- Expiry Date: 06/30/2001 (about 25 years ago)
LOCATIONS
A Address
712 BURGESS AVENUE LANE, RISING SUN IN 47040