Luella Isa Bangura
Controlled Substance Registration - Physician
Indiana 01045193D Expired
This Indiana license was held by Luella Isa Bangura. The license is no longer active. It was granted on 05/21/2007 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01045193D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/21/2007 (about 19 years ago)
- Expiry Date: 06/30/2009 (about 17 years ago)
LOCATIONS
A Address
Tippecanoe Community Health Clinic, 1716 Hartford Street, Lafayette IN 47904