Lisa D. Mullally

Controlled Substance Registration-Osteopathic Physician

Indiana  02003098B   Active

This Indiana license is held by Lisa D. Mullally. The license is currently active. It was granted on 07/27/2006 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 02003098B
  • Category: CSR-Osteopathic Physician
  • Status: Active
  • Date Granted: 07/27/2006 (almost 19 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

12632 Pennsylvania Place, Crown Point IN 46307