Indiana
Professional Licensing Agency
Lisa A. Whiteside
Controlled Substance Registration-Physician Assistant
License number
10000872B
Date granted
06/17/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1001 Hadley Road, Suite 101, Mooresville IN 46158
indianalicensing.org
ID 8387998
LAST UPDATED 2024-05-18 12:21:43 UTC
LAST UPDATED 2024-05-18 12:21:43 UTC
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