Indiana
Professional Licensing Agency
Alicia Marie Pate
Controlled Substance Registration-Physician Assistant
License number
10001351B
Date granted
12/02/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1116 N 16th Street, Ste A, Lafayette IN 47904-2119
indianalicensing.org
ID 8387661
LAST UPDATED 2024-04-19 22:27:35 UTC
LAST UPDATED 2024-04-19 22:27:35 UTC
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