LISA CAMILLE GOLD

Controlled Substance Registration - Physician

Indiana  01044839B   Active

This Indiana license is held by LISA CAMILLE GOLD. The license is currently active. It was granted on 03/28/1996 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01044839B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 03/28/1996 (about 28 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

North Point Pediatrics, 1505 South Court Street, Suite 101, Crown Point IN 46307