Indiana
Professional Licensing Agency
Amanda L. Morris
Controlled Substance Registration - Physician
License number
01056469B
Date granted
07/12/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
915 Sagamore Pkwy W., West Lafayette IN 47906
indianalicensing.org
ID 5933794
LAST UPDATED 2024-03-09 15:53:56 UTC
LAST UPDATED 2024-03-09 15:53:56 UTC
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