Indiana
Professional Licensing Agency
Ahlam N. Wolf
Controlled Substance Registration-Physician Assistant
License number
10001239B
Date granted
02/24/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Lakeshore Bone & Joint Institute, 601 Gateway Blvd. N., Chesterton IN 46304
indianalicensing.org
ID 8386079
LAST UPDATED 2024-04-30 11:30:07 UTC
LAST UPDATED 2024-04-30 11:30:07 UTC
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