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 (over 17 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
12632 Pennsylvania Place, Crown Point IN 46307
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