Renee Diane Lass
Controlled Substance Registration-Osteopathic Physician
Indiana 02002557B Expired
This Indiana license was held by Renee Diane Lass. The license is no longer active. It was granted on 09/25/2002 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 02002557B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 09/25/2002 (over 23 years ago)
- Expiry Date: 06/30/2005 (almost 21 years ago)
LOCATIONS
A Address
Renee Lass, 12002 Eagle Creek Place, Fort Wayne IN 46814