Indiana
Professional Licensing Agency
Shaun Lee Grammer
Controlled Substance Registration-Physician Assistant
License number
10001225B
Date granted
10/29/2010
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Midwest Child Adolescent Specialty Group, 1310 East Davis Drive, Terre Haute IN 47802
indianalicensing.org
ID 8388621
LAST UPDATED 2024-03-08 14:21:07 UTC
LAST UPDATED 2024-03-08 14:21:07 UTC
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