Thomas E. Lautzenheiser

Controlled Substance Registration - Physician

Indiana  01029234B   Expired

This Indiana license was held by Thomas E. Lautzenheiser. The license is no longer active. It was granted on 09/21/1992 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01029234B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 09/21/1992 (over 32 years ago)
  • Expiry Date: 06/30/2001 (almost 24 years ago)

LOCATIONS

A Address

REDIMED, 315 E COOK RD, FORT WAYNE IN 46825