Indiana
Professional Licensing Agency
Alexa Helena Niehaus
Controlled Substance Registration-Physician Assistant
License number
10001464B
Date granted
10/29/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
2910 McIntire Dr., Suite 350, Bloomington IN 47403
indianalicensing.org
ID 8385826
LAST UPDATED 2024-03-07 15:34:03 UTC
LAST UPDATED 2024-03-07 15:34:03 UTC
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