Indiana
Professional Licensing Agency
Kelly Lynn Foutch
Controlled Substance Registration-Physician Assistant
License number
10001285B
Date granted
12/07/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
PromptMed Urgent Care Center, 2502 E. 25th Street, Columbus IN 47201
indianalicensing.org
ID 8386149
LAST UPDATED 2024-04-26 08:55:42 UTC
LAST UPDATED 2024-04-26 08:55:42 UTC
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