Indiana
Professional Licensing Agency
Melissa L. Cooper
Controlled Substance Registration-Physician Assistant
License number
10001330B
Date granted
04/26/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
9001 Broadway, Merrillville IN 46410
indianalicensing.org
ID 8387893
LAST UPDATED 2024-03-24 15:27:18 UTC
LAST UPDATED 2024-03-24 15:27:18 UTC
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