Luella Isa Bangura
Controlled Substance Registration - Physician
Indiana 01045193B Active
This Indiana license is held by Luella Isa Bangura. The license is currently active. It was granted on 08/19/1996 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01045193B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/19/1996 (almost 30 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
5 Executive Drive, Suite G, Lafayette IN 47905
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