LINA BANEVICIUTE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****49

NOT RENEWED

N

LINA

BANEVICIUTE

MD

LINA BANEVICIUTE MD

02/24/2005

04/08/2014

07/31/2017

LAFAYETTE

IN

47905

INDIANA

II III IV V

N

11/01/2017