Lily Ann Lee
Controlled Substance Registration - Physician
Indiana 01025717B Expired
This Indiana license was held by Lily Ann Lee. The license is no longer active. It was granted on 05/31/1986 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01025717B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/31/1986 (about 40 years ago)
- Expiry Date: 06/30/1993 (almost 33 years ago)
LOCATIONS
A Address
1309 NORTH MERIDIAN STREET # B, PORTLAND IN 47371