Indiana
Professional Licensing Agency
Carolyn Redar
Controlled Substance Registration-Physician Assistant
License number
10001619B
Date granted
05/13/2014
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Vincent Medical Group, 8433 Harcourt Rd., Suite 100, Indianapolis IN 46260
indianalicensing.org
ID 29179814
LAST UPDATED 2024-05-04 09:37:18 UTC
LAST UPDATED 2024-05-04 09:37:18 UTC
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