Lisa Renee' Haston-Fuller
Controlled Substance Registration-Osteopathic Physician
Indiana 02002703B Expired
This Indiana license was held by Lisa Renee' Haston-Fuller. The license is no longer active. It was granted on 12/09/2003 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 02002703B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 12/09/2003 (over 20 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
Anderson Center of St. John's, 2210 Jackson Street, Anderson IN 46016