Indiana
Professional Licensing Agency
Dina G Palmer
Controlled Substance Registration-Physician Assistant
License number
10001245B
Date granted
05/04/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
The LiveLight Clinic, 12050 N. Michigan Rd, Zionsville IN 46077
indianalicensing.org
ID 8387119
LAST UPDATED 2024-05-10 11:41:06 UTC
LAST UPDATED 2024-05-10 11:41:06 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.