Indiana
Professional Licensing Agency
Amanda Marie Matusik
Controlled Substance Registration-Physician Assistant
License number
10001523B
Date granted
06/28/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
East Indiana Treatment Center, 816 Rudolph Way, Lawrenceburg IN 47025
indianalicensing.org
ID 8387726
LAST UPDATED 2024-04-04 08:15:33 UTC
LAST UPDATED 2024-04-04 08:15:33 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.