Thomas Luben Lazoff
Controlled Substance Registration - Physician
Indiana 01040711B Active
This Indiana license is held by Thomas Luben Lazoff. The license is currently active. It was granted on 10/26/1994 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01040711B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/26/1994 (over 30 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Physical Medicine Consultants, LLC, 7910 W. Jefferson Blvd., Suite 300, Fort Wayne IN 46804
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